Basic Information
| Provider Information | |||||||||
| NPI: | 1881864544 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TAYLOR | ||||||||
| FirstName: | SONIA | ||||||||
| MiddleName: | YOLANDA | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4961 256TH ST | ||||||||
| Address2: | |||||||||
| City: | O BRIEN | ||||||||
| State: | FL | ||||||||
| PostalCode: | 320714434 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3869353287 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 619 S MARION AVE | ||||||||
| Address2: | |||||||||
| City: | LAKE CITY | ||||||||
| State: | FL | ||||||||
| PostalCode: | 320255808 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3867553016 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/08/2008 | ||||||||
| LastUpdateDate: | 03/08/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN9232284 | FL | Y | Nursing Service Providers | Registered Nurse |
No ID Information.