Provider Demographics
NPI:1336970524
Name:TAYLOR, COCO GENEVIEVE
Entity type:Individual
Prefix:
First Name:COCO
Middle Name:GENEVIEVE
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 1:332 E CAROL AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-2072
Mailing Address - Country:US
Mailing Address - Phone:480-338-1653
Mailing Address - Fax:
Practice Address - Street 1:332 E CAROL AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-2072
Practice Address - Country:US
Practice Address - Phone:480-338-1653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula