Provider Demographics
NPI:1083443097
Name:VOS, TAYLOR RAY (MSN, NM, NP)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:RAY
Last Name:VOS
Suffix:
Gender:F
Credentials:MSN, NM, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1659 BAILEY DR
Mailing Address - Street 2:
Mailing Address - City:RIPON
Mailing Address - State:CA
Mailing Address - Zip Code:95366-3106
Mailing Address - Country:US
Mailing Address - Phone:209-247-4423
Mailing Address - Fax:
Practice Address - Street 1:1659 BAILEY DR
Practice Address - Street 2:
Practice Address - City:RIPON
Practice Address - State:CA
Practice Address - Zip Code:95366-3106
Practice Address - Country:US
Practice Address - Phone:209-247-4423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95030835363LW0102X
CA236475367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health