Provider Demographics
NPI:1063225241
Name:TAYLOR, MICHAEL EVERETT (MSN)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:EVERETT
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14725 DAUPHIN ISLAND PKWY
Mailing Address - Street 2:
Mailing Address - City:CODEN
Mailing Address - State:AL
Mailing Address - Zip Code:36523-2927
Mailing Address - Country:US
Mailing Address - Phone:251-458-7688
Mailing Address - Fax:
Practice Address - Street 1:14725 DAUPHIN ISLAND PKWY
Practice Address - Street 2:
Practice Address - City:CODEN
Practice Address - State:AL
Practice Address - Zip Code:36523-2927
Practice Address - Country:US
Practice Address - Phone:251-465-0292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-098300163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care