Provider Demographics
NPI:1427452481
Name:TAYLOR, SHARON LEIGH (RN)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:LEIGH
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 WESTTOWN RD STE 180
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-4991
Mailing Address - Country:US
Mailing Address - Phone:610-344-6462
Mailing Address - Fax:
Practice Address - Street 1:601 WESTTOWN RD STE 180
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-4991
Practice Address - Country:US
Practice Address - Phone:610-344-6462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-20
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN290323L163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007655340030Medicaid