Individual
TAYLOR EXTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4719 SLALOM RUN SE, OWENS CROSS ROADS, AL 35763-8712
(256) 541-6493
Mailing address
4719 SLALOM RUN SE, OWENS CROSS ROADS, AL 35763-8712
(256) 541-6493
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-171968
AL
Other
Enumeration date
08/31/2021
Last updated
06/03/2024
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