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MRS. MONICA CLARK TAYLOR C.R.N.P.

Obstetrics & Gynecology >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1518918820

Individual Registrant:
MRS. MONICA CLARK TAYLOR C.R.N.P.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
12701 PADGETT SWITCH RD  IRVINGTON, AL 36544-4011 US
Tel: 251-824-2174  Fax: 251-824-4343

Contact information for business:
PO BOX 769  BAYOU LA BATRE, AL 36509-0769 US
Tel: 251-824-2174  Fax: 251-824-4343

Registration Information:
NPI: 1518918820
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LX0001XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Obstetrics & Gynecology
AL1-067247

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
631500043AL05




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