Individual
MRS. SHALU R TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN174968
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
994260837A
—
GA
05
—
994260837B
—
GA
01
—
RN174968
GEORGIA LICENSE
GA
Enumeration date
12/08/2005
Last updated
02/22/2018
Update your record
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