Individual
MRS. ERICA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
146 W RIVER ST, PROVIDENCE, RI 02904
(401) 793-7080
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
002795
CT
363AM0700X
Medical Physician Assistant
Primary
PA01004
RI
Other
Enumeration date
11/26/2012
Last updated
08/20/2018
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