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Individual

TAYLOR NICOLE NOAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-6080
Mailing address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-6080

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1149829
AL
363L00000X
Nurse Practitioner
1-149829
AL
363LP0200X
Pediatric Nurse Practitioner
Primary
1-149829
AL

Other

Enumeration date
09/12/2019
Last updated
03/14/2023
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