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Individual

TAYLOR YARDLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6001 KYLE PKWY, KYLE, TX 78640-6112
(512) 504-5052
Mailing address
PO BOX 791, CARNEGIE, PA 15106-0791
(613) 523-1748

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1072013
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1072013
STATE LICENSE
TX
Enumeration date
03/04/2022
Last updated
03/04/2022
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