Individual
MS. MARKETA KEISHIA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(336) 528-2173
Mailing address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(336) 528-2173
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
5006107
NC
Other
Enumeration date
03/18/2013
Last updated
06/23/2020
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