Individual
NICODA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1801 N OREGON ST, EL PASO, TX 79902-3524
(915) 521-1200
Mailing address
1801 N OREGON ST, EL PASO, TX 79902-3524
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
848980
TX
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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