Taylor, Stacie

Taylor, Stacie is an sole proprietor health care provider with primary practice located at 7350 Industrial Park Blvd , Mentor OH 44060-5318. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Taylor, Stacie can be contacted via phone (216) 732-9480.

Contact Information

Primary practice address
7350 Industrial Park Blvd Mentor OH 44060-5318
Phone: (216) 732-9480
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X COA.16509-NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X COA.16509-NP Ohio

Profile Details

NPI number 1508264615
LBN Legal business name Taylor, Stacie
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2014
Last updated Jun 9th, 2016 - about 10 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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