Provider Demographics
NPI:1427017524
Name:TAYLOR, BEATRICE MARIE (LPN)
Entity type:Individual
Prefix:MRS
First Name:BEATRICE
Middle Name:MARIE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7593 STATE ROUTE 550
Mailing Address - Street 2:
Mailing Address - City:VINCENT
Mailing Address - State:OH
Mailing Address - Zip Code:45784-5551
Mailing Address - Country:US
Mailing Address - Phone:740-678-2219
Mailing Address - Fax:
Practice Address - Street 1:7593 STATE ROUTE 550
Practice Address - Street 2:
Practice Address - City:VINCENT
Practice Address - State:OH
Practice Address - Zip Code:45784-5551
Practice Address - Country:US
Practice Address - Phone:740-678-2219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-20
Last Update Date:2007-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH063353164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse