1033741046 NPI number — MRS. DEBBIE SAMANTHA TAYLOR-HILL RN

Table of content: MRS. DEBBIE SAMANTHA TAYLOR-HILL RN (NPI 1033741046)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033741046 NPI number — MRS. DEBBIE SAMANTHA TAYLOR-HILL RN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TAYLOR-HILL
Provider First Name:
DEBBIE
Provider Middle Name:
SAMANTHA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033741046
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/07/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 823
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SANDERS
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
86512-0823
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-338-8494
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CHIITOH BLVD
Provider Second Line Business Practice Location Address:
SANDERS
Provider Business Practice Location Address City Name:
SANDERS
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
86512
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
928-688-5622
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/07/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  9490865 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 9140860054 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".




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