Mr Timothy Michael Taylor, NP | |
2 W Fern Ave, Redlands, CA 92373-5916 | |
(909) 793-3311 | |
Not Available |
Full Name | Mr Timothy Michael Taylor |
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Gender | Male |
Speciality | Nurse Practitioner - Acute Care |
Location | 2 W Fern Ave, Redlands, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194387373 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LC0200X | Nurse Practitioner - Critical Care Medicine | 95012017 (California) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 95012017 (California) | Primary |
Entity Name | Beaver Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449 |
Entity Name | Healthcare Partners Affiliates Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
Mailing Address | Practice Location Address |
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Mr Timothy Michael Taylor, NP Po Box 10069, San Bernardino, CA 92423-0069 Ph: (909) 335-4188 | Mr Timothy Michael Taylor, NP 2 W Fern Ave, Redlands, CA 92373-5916 Ph: (909) 793-3311 |
John Adeniji, N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1809 W Redlands Blvd, Redlands, CA 92373 Phone: 909-335-3026 | |
Cynthia L Pacheco, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 W Fern Ave, Redlands, CA 92373 Phone: 909-793-3311 | |
Mrs. Lisa C Anderson, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 W Fern Ave, Redlands, CA 92373 Phone: 909-793-3311 Fax: 909-796-4158 | |
Natasha Mirella Ramirez, MSN, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25828 Redlands Blvd Ste 103, Redlands, CA 92373 Phone: 909-558-6600 | |
Mark Alan Hiday, F.N.P.-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 Terracina Blvd, Redlands, CA 92373 Phone: 909-335-5500 | |
Sunah Song, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26001 Redlands Blvd # 117, Redlands, CA 92373 Phone: 909-894-7677 | |
Julia Sporka, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9980 Alabama St # F2, Redlands, CA 92374 Phone: 909-335-0980 |