Individual
KAREN R TAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5700 STAR LN, PANAMA CITY, FL 32404-2050
(850) 815-7216
Mailing address
5700 STAR LN, PANAMA CITY, FL 32404-2050
(850) 785-5245
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11006580
FL
Other
Enumeration date
08/01/2020
Last updated
08/01/2020
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