Individual
DEBORAH K TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1700 CLINTON ST, MUSKEGON, MI 49442-5502
(231) 728-4930
Mailing address
PO BOX 1177, MUSKEGON, MI 49443-1177
(231) 728-4006
(231) 728-5694
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704105276
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500F11146
BCBSM
MI
Enumeration date
01/10/2008
Last updated
03/28/2008
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