Individual
DEBRA N TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
306 STANAFORD RD, BECKLEY, WV 25801-3142
(304) 255-3000
(304) 255-3544
Mailing address
ONE VIRGINIA AVENUE, SUITE 201, PROVIDENCE, RI 02905
(401) 490-0916
(401) 490-0979
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
584742
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
87006
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134849100
—
TX
01
—
134849101
FIRSTCARE COMMERCIAL
TX
05
—
180908901
—
TX
05
—
200082600A
—
OK
01
—
202006360
PRESBYTERIAN COMMERCIAL
NM
05
—
202006360
—
NM
01
—
86389U
BC/BS
TX
Enumeration date
06/21/2006
Last updated
07/19/2021
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