Individual
ELIZABETH TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2725 AIRVIEW BLVD STE 105, PORTAGE, MI 49002-1804
(248) 824-6500
(855) 618-6655
Mailing address
PO BOX 40412, BELFAST, ME 04915-1255
(248) 824-6500
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704234496
MI
Other
Enumeration date
09/02/2015
Last updated
07/24/2025
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