Provider Demographics
NPI:1194539734
Name:MANION, TAYLOR (RN)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:MANION
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:
Other - Last Name:DUHE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:6383 ZACH PL
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45459-2503
Mailing Address - Country:US
Mailing Address - Phone:850-529-7967
Mailing Address - Fax:
Practice Address - Street 1:948 PATTERSON RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45419-4336
Practice Address - Country:US
Practice Address - Phone:614-412-1789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.529499163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse