Provider Demographics
NPI:1427301803
Name:TAYLOR, STEPHANIE KAYE (LPN)
Entity type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:KAYE
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 1:240 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:GALION
Mailing Address - State:OH
Mailing Address - Zip Code:44833-2818
Mailing Address - Country:US
Mailing Address - Phone:567-303-2872
Mailing Address - Fax:
Practice Address - Street 1:240 3RD AVE
Practice Address - Street 2:
Practice Address - City:GALION
Practice Address - State:OH
Practice Address - Zip Code:44833-2818
Practice Address - Country:US
Practice Address - Phone:567-303-2872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-22
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.150727-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse