Individual
DENA C TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
803 N 1ST ST, VIENNA, IL 62995-1544
(618) 658-2811
(618) 658-2439
Mailing address
513 N MAIN ST, ANNA, IL 62906-1668
(618) 833-4471
(618) 833-6267
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-004533
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03-6100463
—
IL
Enumeration date
10/25/2006
Last updated
04/25/2016
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