Individual
MRS. CHERYL TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1900 EXETER RD, SUITE 210, GERMANTOWN, TN 38138-2954
(901) 818-2160
(901) 682-9522
Mailing address
1900 EXETER RD, SUITE 210, GERMANTOWN, TN 38138-2954
(901) 818-2160
(901) 682-9522
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 105423
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN 10749
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06302506
—
MS
05
—
167793001
—
AR
05
—
3635216
—
TN
01
—
4108981
BLUE CROSS
TN
01
—
83283
BLUE CROSS
AR
01
—
P00238581
RAILROAD MEDICARE
TN
Enumeration date
05/16/2006
Last updated
06/09/2011
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