Angela Ridge Taylor is a Family in Tupelo, Mississippi. Angela Ridge Taylor practices all healthcare services and medical treatments related to Family. The NPI Number for Angela Ridge Taylor is 1699774810. The last update date is 2010-09-30.
Angela Ridge Taylor's current location address is 961 South Gloster Street, Tupelo, Mississippi. You can contact this provider via phone number 6628449166 and fax number 6628440170. The mailing address for Angela Ridge Taylor is 961 South Gloster Street, Tupelo, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angela Ridge Taylor |
|---|---|
| Address | 961 South Gloster Street, Tupelo, Mississippi |
| Phone Number | 6628449166 |
| Fax Number | 6628440170 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1699774810 |
|---|---|
| Provider Enumeration Date | 2005-07-19 |
| Last Updated Date | 2010-09-30 |
Provider Mailing Address Detail
| Address | 961 South Gloster Street |
|---|---|
| City | Tupelo |
| State | Mississippi (MS) |
| Post Code | 38801 |
| Phone Number | 6628449166 |
| Fax Number | 6628440170 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R853671 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 126044 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Angela Ridge Taylor by the Centers for Medicare & Medicaid Services?
The Angela Ridge Taylor has been assigned the NPI (National Provider Identifier) 1699774810. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Angela Ridge Taylor's facilities are situated?
The facilities of Angela Ridge Taylor are physically located at the following address: 961 South Gloster Street, Tupelo, MS, 38801.
What is Angela Ridge Taylor's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Angela Ridge Taylor is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
On what date did Angela Ridge Taylor receive its 1699774810 assignment from the Centers for Medicare & Medicaid Services?
The Angela Ridge Taylor was assigned its 1699774810 on 2005-07-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Angela Ridge Taylor last refreshed?
The information related to the Angela Ridge Taylor, including its address, specialty, and other relevant details, was last updated on 2010-09-30.