| Ms Taylor Randall Watrous, | |
|
150 Kingsley Ln, Norfolk, VA 23505-4602 | |
| (757) 889-5112 | |
| Not Available |
| Full Name | Ms Taylor Randall Watrous |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 150 Kingsley Ln, Norfolk, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528473725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110004643 (Virginia) | Primary |
| 363AM0700X | Physician Assistant - Medical | 0110004643 (Virginia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coastal Dermatology P.c. | 1153450473 | 4 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Taylor Randall Watrous, 1148 Wivenhoe Way, Virginia Beach, VA 23454-3046 Ph: (757) 285-7861 | Ms Taylor Randall Watrous, 150 Kingsley Ln, Norfolk, VA 23505-4602 Ph: (757) 889-5112 |
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