Individual
MS. STEPHANIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
300 SUMMIT ST, TRINITY COLLEGE HEALTH CENTER, HARTFORD, CT 06106-3100
(860) 297-2018
(860) 297-2020
Mailing address
300 SUMMIT ST, TRINITY COLLEGE HEALTH CENTER, HARTFORD, CT 06106-3100
(860) 297-2018
(860) 297-2020
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
48708
CT
363L00000X
Nurse Practitioner
Primary
000900
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004238136
—
CT
01
—
090000
CONNECTICARE
CT
01
—
2V4069
HEALTH NET
CT
01
—
400000900CT03
ANTHEM
CT
Enumeration date
08/11/2006
Last updated
02/09/2015
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