Provider Demographics
NPI:1700300274
Name:MORROW, TAYLOR GRACE (MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:GRACE
Last Name:MORROW
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 STEWART ST
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:PA
Mailing Address - Zip Code:15530-1505
Mailing Address - Country:US
Mailing Address - Phone:814-279-8654
Mailing Address - Fax:
Practice Address - Street 1:5706 GLADES PIKE
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:PA
Practice Address - Zip Code:15501-8302
Practice Address - Country:US
Practice Address - Phone:814-445-6501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP025559207Q00000X
VA0024180715363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine