Individual
TAYLORE CHANILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, APRN, FNP-BC, RN
Contact information
Practice address
1125 ROUTE 22 STE 155, BRIDGEWATER, NJ 08807-2939
(908) 947-9863
(732) 560-3206
Mailing address
1125 ROUTE 22 STE 155, BRIDGEWATER, NJ 08807-2939
(908) 947-9863
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01281300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NR18877800
RN
NJ
Enumeration date
03/14/2022
Last updated
10/02/2025
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