Individual
CORRI TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
513 MODRELL BLVD, ELKHART, IN 46514-3426
(317) 432-1336
Mailing address
513 MODRELL BLVD, ELKHART, IN 46514-3426
(317) 432-1336
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28192018A
IN
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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