D'Etcheverry, Taylor Erin

D'Etcheverry, Taylor Erin is an individual health care provider with primary practice located at 600 Gresham Dr Ste 8600 , Norfolk VA 23507-1904. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Surgical Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. D'Etcheverry, Taylor Erin can be contacted via phone (757) 388-6005.

Contact Information

Primary practice address
600 Gresham Dr Ste 8600 Norfolk VA 23507-1904
Phone: (757) 388-6005
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110009282 Virginia
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 2268 West Virginia

Profile Details

NPI number 1669943890
LBN Legal business name D'Etcheverry, Taylor Erin
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2018
Last updated Jan 25th, 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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