Individual
MRS. LAURA ANNE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, PMHNP-BC
Contact information
Practice address
8455 OLD STONEFIELD CHASE, SAN DIEGO, CA 92127-6129
(858) 832-1922
Mailing address
3396 SIEBENHAR WAY, PETOSKEY, MI 49770-8213
(231) 463-7311
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704205113
MI
367A00000X
Advanced Practice Midwife
4704205113
MI
Other
Enumeration date
07/26/2006
Last updated
07/10/2024
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