Provider Demographics
NPI:1275175424
Name:TAYLOR, FATIMA T (CRNP)
Entity type:Individual
Prefix:MS
First Name:FATIMA
Middle Name:T
Last Name:TAYLOR
Suffix:
Gender:
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 32244
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21282-2244
Mailing Address - Country:US
Mailing Address - Phone:443-739-4784
Mailing Address - Fax:
Practice Address - Street 1:5 PARK CENTER CT STE 201
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4202
Practice Address - Country:US
Practice Address - Phone:667-214-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-09
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR192922363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily