Individual
MS. MARY ANNE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1505 S 7TH ST, LOUISVILLE, KY 40208-1710
(502) 637-1005
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0330
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
6285P
KY
363LF0000X
Family Nurse Practitioner
Primary
6285P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3006285
FAMILY NURSE PRACTITIONER
KY
05
—
7100107290 (KOHMG)
—
KY
Enumeration date
08/12/2009
Last updated
12/03/2024
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