Provider Demographics
NPI:1669344834
Name:HAUN, TAYLOR J (PA-C)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:J
Last Name:HAUN
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:360 US HIGHWAY 1 BYP UNIT 102
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-7105
Mailing Address - Country:US
Mailing Address - Phone:603-319-4490
Mailing Address - Fax:
Practice Address - Street 1:543 BROADWAY
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-3337
Practice Address - Country:US
Practice Address - Phone:207-922-1300
Practice Address - Fax:207-217-6742
Is Sole Proprietor?:No
Enumeration Date:2025-09-18
Last Update Date:2025-09-18
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Provider Licenses
StateLicense IDTaxonomies
MEPA2962363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant