Individual
WILLARD J TAYLOR IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
16 W LONG ST, COLUMBUS, OH 43215-2815
(740) 695-9344
Mailing address
16 W LONG ST, COLUMBUS, OH 43215-2815
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN.477515
OH
Other
Enumeration date
11/09/2020
Last updated
02/15/2022
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