ANGENETTE TAYLOR AGACNP NPI 1760081871

NPI Information

NPI: 1760081871
Provider Name: ANGENETTE TAYLOR, AGACNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: MGH FAMILY HEALTH CENTER

PECOS Registration: Yes

Address:
4055 VALLEY VIEW LN STE 700
DALLAS, TX
ZIP 75244
Phone: (972) 715-3800
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Angenette Taylor, AGACNP is a gerontology nurse practitioner in Dallas, TX with 4 years of experience. Angenette Taylor, AGACNP NPI is 1760081871. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4055 VALLEY VIEW LN STE 700
DALLAS, TX
ZIP 75244-045
Phone: (972) 715-3800

The NPI 1760081871 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/20/2020 and was last updated on 10/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	4704250947	MICHIGAN	No
2	363LG0600X	Nurse Practitioner	Gerontology	4704250947	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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