Provider Demographics
NPI:1700372828
Name:SWING, TAYLOR M (NP)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:M
Last Name:SWING
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 BUSINESS CENTER DR
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-1230
Mailing Address - Country:US
Mailing Address - Phone:410-833-2949
Mailing Address - Fax:410-833-3136
Practice Address - Street 1:210 BUSINESS CENTER DR
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-1230
Practice Address - Country:US
Practice Address - Phone:410-833-2949
Practice Address - Fax:410-833-3136
Is Sole Proprietor?:No
Enumeration Date:2018-07-02
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN692333363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics