Individual
MARNA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 E 14 MILE RD, STERLING HEIGHTS, MI 48310-6411
(586) 722-6036
(586) 939-7494
Mailing address
2651 SAULINO CT, DEARBORN, MI 48120-1556
(313) 842-7010
(313) 842-5150
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704180803
MI
363LF0000X
Family Nurse Practitioner
Primary
4704180803
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47014180803
MEDICAL LICENSE
MI
Enumeration date
09/14/2018
Last updated
01/23/2019
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