Individual
TAYLOR K HABERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009-2280
(770) 643-5619
Mailing address
2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009-2280
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60800197
WA
163W00000X
Registered Nurse
RN93861
NV
367500000X
Certified Registered Nurse Anesthetist
823106
NV
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60905092
WA
Other
Enumeration date
09/06/2018
Last updated
08/26/2019
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