Individual
MS. NANCY ELLSWORTH TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3841 BRICKWAY BLVD, SANTA ROSA, CA 95403-8226
(707) 569-2364
Mailing address
657 ACACIA LN, APT. 207, SANTA ROSA, CA 95409-3462
(662) 251-5932
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN273214
CA
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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