Wahl, Taylor Suzanne

Wahl, Taylor Suzanne is an individual health care provider with primary practice located at 1235 Osos St # 100 , San Luis Obispo CA 93401-3619. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Wahl, Taylor Suzanne can be contacted via phone (805) 549-0888.

Contact Information

Primary practice address
1235 Osos St # 100 San Luis Obispo CA 93401-3619
Phone: (805) 549-0888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA57177 California

Profile Details

NPI number 1003364191
LBN Legal business name Wahl, Taylor Suzanne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2016
Last updated Aug 30th, 2019 - about 7 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.

Request for update

Popular Providers