Individual
MS. SUSAN WARREN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
98 CHANNING AVE, PORTSMOUTH, VA 23702-2806
(914) 473-9541
Mailing address
98 CHANNING AVE, PORTSMOUTH, VA 23702-2806
(914) 473-9541
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1229511
VA
163W00000X
Registered Nurse
22631717
NY
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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