Black, Taylor Marie

Black, Taylor Marie is an individual health care provider with primary practice located at 1415 Saint Francis Ave , Shakopee MN 55379-3374. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Family Medicine. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Black, Taylor Marie can be contacted via phone (952) 993-7750.

Contact Information

Primary practice address
1415 Saint Francis Ave Shakopee MN 55379-3374
Phone: (952) 993-7750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 14785 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14785 Minnesota

Profile Details

NPI number 1184481871
LBN Legal business name Black, Taylor Marie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 29th, 2024
Last updated Apr 5th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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