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Micheala Renae Taylor, GTA-DOSTUDENT
Student in an Organized Health Care Education/Training Program in Lewisburg, West Virginia
NPI 1770053308

Micheala Renae Taylor is a Student in an Organized Health Care Education/Training Program based in Maxwelton, WV. Micheala Renae Taylor practices in Lewisburg, WV and has the professional credentials of GTA-DOSTUDENT. The NPI Number for Micheala Renae Taylor is 1770053308 and holds a License No. (West Virginia).

The current practice location address for Micheala Renae Taylor is 1464 North Jefferson Street, Lewisburg, WV and can be reached out via phone at 304-645-3220.

Location: 1464 North Jefferson Street, Lewisburg, WV, 24957-9400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770053308
Provider Name
Micheala Renae Taylor
Credential
GTA-DOSTUDENT
Provider Entity Type
Individual
Gender
Female
Address
1464 North Jefferson Street, Lewisburg, WV, 24957-9400
Phone Number
304-645-3220
Fax Number
Provider Enumeration Date
11/27/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1464 North Jefferson Street
City
Lewisburg
State
West Virginia
Zip
24901
Phone Number
304-645-3220
Fax Number
person
Provider Business Mailing Address Details
Address
1464 North Jefferson Street
City
Lewisburg
State
West Virginia
Zip
24901
Phone Number
304-645-3220
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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