NPI 1649073214

Taylor Larue

Practitioner Basic Emergency Medical Technician Coolidge, AZ

Practice location

Address: 4644 W Cinnamon Ave, Coolidge, AZ 85128-8298
Phone: (480) 828-0265

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence AZ00013304 (AZ)

Other Emergency Medical Technician, Basic providers in Arizona →

Registry record

NPI: 1649073214
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Mar 2025
Record last updated: 29 Mar 2025

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.