Provider Demographics
NPI:1306143730
Name:TAYLOR, ROSEMARIE TERESA
Entity type:Individual
Prefix:MRS
First Name:ROSEMARIE
Middle Name:TERESA
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10024 NE 140TH ST
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-5214
Mailing Address - Country:US
Mailing Address - Phone:425-820-9392
Mailing Address - Fax:
Practice Address - Street 1:10024 NE 140TH ST
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-5214
Practice Address - Country:US
Practice Address - Phone:425-820-9392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-21
Last Update Date:2011-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00114643163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse