Individual
TAYLOR WIDDISON
Active
Individual
TAYLOR WIDDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
10371161-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
10371161-4405
UT
Other
Enumeration date
09/13/2023
Last updated
12/08/2023
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