Individual
TAYLOR RAEANNE HAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 MAIN ST STE 104, WHEELING, WV 26003-2737
(304) 513-3495
Mailing address
69 STONE CREEK RD, COLLIERS, WV 26035-1538
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2989
WV
363A00000X
Physician Assistant
50.009346RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108827
—
OH
05
—
1649096330
—
WV
Enumeration date
11/26/2024
Last updated
04/15/2026
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