Provider Demographics
NPI:1336936566
Name:TAYLOR, SARAH B (RN)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:B
Last Name:TAYLOR
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1024 MORTON ST
Mailing Address - Street 2:
Mailing Address - City:MATTAPAN
Mailing Address - State:MA
Mailing Address - Zip Code:02126-2647
Mailing Address - Country:US
Mailing Address - Phone:617-959-4044
Mailing Address - Fax:
Practice Address - Street 1:2003 FALLS BLVD
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-8202
Practice Address - Country:US
Practice Address - Phone:617-959-4044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2277991163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice