Watrous, Taylor Randall

Watrous, Taylor Randall is an individual health care provider with primary practice located at 150 Kingsley Ln , Norfolk VA 23505-4602. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Watrous, Taylor Randall can be contacted via phone (757) 889-5112.

Contact Information

Primary practice address
150 Kingsley Ln Norfolk VA 23505-4602
Phone: (757) 889-5112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110004643 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110004643 Virginia

Profile Details

NPI number 1528473725
LBN Legal business name Watrous, Taylor Randall
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2014
Last updated Jun 25th, 2014 - about 12 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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