Doctor Name: | MRS. CHERYL DENISE TAYLOR |
NPI Number: | 1043569577 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | COA.13702-NP |
Business Practice Address: | 6847 N Chestnut St Ravenna, OH - 442663929 |
Business Phone Number: | 3302972850 |
Business Fax Number: | |
Mailing Address: | 3790 Maplecrest Rd, WOODMERE |
State: | OH |
Postal Code: | 441224414 |
Phone Number: | 2163780632 |
Fax Number: | |
NPI Enumeration Date: | 08/30/2012 |
NPI Last Update Date: | 08/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | COA.13702-NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |