Individual
MRS. PHILICIA ANN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1801 N JACKSON ST, TULLAHOMA, TN 37388-8259
(828) 398-5244
(828) 360-3080
Mailing address
545 LAKE HILL RD, MANCHESTER, TN 37355-4230
(615) 653-3255
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3007278
KY
Other
Enumeration date
01/09/2012
Last updated
03/17/2018
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