Ms Nancy Ellsworth Taylor, LVN is a
Licensed Practical Nurse based in Santa Rosa, California. Ms Nancy Ellsworth Taylor is licensed to practice in California (license number VN273214) and her current practice location is
3841 Brickway Blvd, Santa Rosa, California. She can be reached at her office (for appointments etc.) via phone at
(707) 569-2364.
NPI number for Ms Nancy Ellsworth Taylor is 1700213311 and her current mailing address is 657 Acacia Ln, Apt. 207, Santa Rosa, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700213311.
Provider's Profile
| Full Name | Ms Nancy Ellsworth Taylor |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 3841 Brickway Blvd, Santa Rosa, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700213311
- Provider Enumeration Date: 09/27/2013
- Last Update Date: 09/27/2013
Medical Identifiers
Medical identifiers for Ms Nancy Ellsworth Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700213311 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | VN273214 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Nancy Ellsworth Taylor is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Nancy Ellsworth Taylor, LVN
657 Acacia Ln, Apt. 207,
Santa Rosa, CA 95409-3462
Ph: (662) 251-5932 | Ms Nancy Ellsworth Taylor, LVN
3841 Brickway Blvd,
Santa Rosa, CA 95403-8226
Ph: (707) 569-2364 |
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