| Doctor Name: | SAMANTHA N TAYLOR |
| NPI Number: | 1033340377 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | 0024168392 |
| Business Practice Address: | 17 Centre Ct Palmyra, VA - 229632330 |
| Business Phone Number: | 4345896644 |
| Business Fax Number: | 4345896688 |
| Mailing Address: | Po Box 75268, BALTIMORE |
| State: | MD |
| Postal Code: | 212755268 |
| Phone Number: | 4346547794 |
| Fax Number: | 4346547752 |
| NPI Enumeration Date: | 08/04/2009 |
| NPI Last Update Date: | 04/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0024168392 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |