Individual
COURTNEY M TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
12200 WARWICK BLVD STE 410, RIVERSIDE NEUROVASCULAR SPECIALISTS, NEWPORT NEWS, VA 23601-2548
(757) 534-5200
Mailing address
856 J CLYDE MORRIS BLVD STE A, RIVERSIDE MEDICAL GROUP, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024173973
VA
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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