Nichole Irene Taylor, | |
128 Overlook Dr, Lucasville, OH 45648-9002 | |
(606) 922-9527 | |
Not Available |
Full Name | Nichole Irene Taylor |
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Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 128 Overlook Dr, Lucasville, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164155503 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 2022008116 (Ohio) | Primary |
Entity Name | Apogee Medical Group Ohio Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477500999 PECOS PAC ID: 8224082292 Enrollment ID: O20050311000733 |
Entity Name | Pain Management Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063831303 PECOS PAC ID: 0143453670 Enrollment ID: O20140616001217 |
Mailing Address | Practice Location Address |
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Nichole Irene Taylor, 128 Overlook Dr, Lucasville, OH 45648-9002 Ph: () - | Nichole Irene Taylor, 128 Overlook Dr, Lucasville, OH 45648-9002 Ph: (606) 922-9527 |
Justin D Nolen, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Thomas Hollow Rd, Lucasville, OH 45648 Phone: 740-259-5699 Fax: 740-259-2186 | |
Nathan E Rider, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Thomas Hollow Rd, Lucasville, OH 45648 Phone: 740-259-5699 Fax: 740-259-2186 |