Individual
MRS. STEPHANIE HERTIG TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
444 STOCKBRIDGE ROAD, GREAT BARRINGTON, MA 01230
(413) 528-8580
(413) 528-8583
Mailing address
P.O. BOX 30, GREAT BARRINGTON, MA 01230
(413) 528-9311
(413) 644-0274
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2308523
MA
363LP0200X
Pediatric Nurse Practitioner
R037301
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110116561A
—
MA
05
—
242490099
—
ME
Enumeration date
04/11/2007
Last updated
07/21/2022
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