NPI 1033189386

Roberta R Taylor, PAC

Practitioner Physician Assistant Frederick, MD

Practice location

Address: 85 Thomas Johnson CT Suite B, Frederick, MD 21702-4359
Phone: (301) 663-9440
Fax: (301) 663-4602
Mailing address: 9007 Mountainberry CT, Frederick, MD 21702-2343

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence C0000139 (MD)

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Registry record

NPI: 1033189386
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jan 2006
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.