Individual
TAYLOR WARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3436 ISLETA BLVD SW, ALBUQUERQUE, NM 87105-5837
(505) 596-2300
Mailing address
105 COMMERCIAL CENTER DR, RUSKIN, FL 33573-6827
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2025-0093
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2025
Last updated
10/13/2025
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