Female

Deanna L. Taylor PA

Physician Assistant in Centerville, OH(View on Map)

Full Name

Deanna Lynne Taylor PA

NPI Number

1205009842

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/03/2008

Specialties

(Taxonomies)

Code

363A00000X
363AM0700X

Primary Taxonomy

Yes
No

Licenses

State

Indiana
Indiana
Ohio

License Number

99031537A
10000993A
50.005661RX

Contact
Information

Purpose

Mailing
Location

Address

801 YORK ST
400 N MAIN ST STE D

City

Manitowoc
Centerville

State

WI
OH

Postal Code

54220-4630
45459-4424

Country

US
US

Telephone Number

(920) 663-9008
(937) 438-3376

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

Deanna.StirnTaylor@forefrontdermatology.emadirect.md

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

400 N Main St Ste DCenterville, OH454594424US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/21/2021

Provider Address

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