Provider Demographics
NPI:1134812506
Name:AUNON, TAYLOR (FNP-BC)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:AUNON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:653 BLUEFIELD RD STE F
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-9599
Mailing Address - Country:US
Mailing Address - Phone:704-360-6480
Mailing Address - Fax:980-444-6855
Practice Address - Street 1:653 BLUEFIELD RD STE F
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-9599
Practice Address - Country:US
Practice Address - Phone:704-360-6580
Practice Address - Fax:980-444-6855
Is Sole Proprietor?:No
Enumeration Date:2023-05-31
Last Update Date:2024-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5018169363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily