| Doctor Name: | MICHELLE ALENA TAYLOR |
| NPI Number: | 1013124536 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N., M.S.N., A.C.N. |
| License Number: | 429752 |
| Business Practice Address: | 1194 Pacific Street Suite 100 San Luis Obispo, CA - 93401 |
| Business Phone Number: | 8057819111 |
| Business Fax Number: | 8057880764 |
| Mailing Address: | 1194 Pacific Street, Suite 100 SAN LUIS OBISPO |
| State: | CA |
| Postal Code: | 93401 |
| Phone Number: | 8057819111 |
| Fax Number: | 8057880764 |
| NPI Enumeration Date: | 05/16/2007 |
| NPI Last Update Date: | 03/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 429752 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |