Provider Demographics
NPI:1528891579
Name:TAYLOR, ASHLYN (RD)
Entity type:Individual
Prefix:
First Name:ASHLYN
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 MISTY HILL LN
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95503-9747
Mailing Address - Country:US
Mailing Address - Phone:707-499-1292
Mailing Address - Fax:
Practice Address - Street 1:95 MISTY HILL LN
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95503-9747
Practice Address - Country:US
Practice Address - Phone:707-499-1292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-24
Last Update Date:2024-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered