Individual
TAYLOR ALECIA LIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 78TH ST NW, BRADENTON, FL 34209-1042
(941) 526-5919
Mailing address
1011 78TH ST NW, BRADENTON, FL 34209-1042
(941) 526-5919
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11040496
FL
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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