Provider Demographics
NPI:1730990615
Name:TAYLOR MEJIAS, DONNA LAVIRNEY (FNP)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:LAVIRNEY
Last Name:TAYLOR MEJIAS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17727 N ROSA DR
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85138-1843
Mailing Address - Country:US
Mailing Address - Phone:602-653-0408
Mailing Address - Fax:
Practice Address - Street 1:17727 N ROSA DR
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85138-1843
Practice Address - Country:US
Practice Address - Phone:602-653-0408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-18
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA850193163W00000X
OR202207460RN163W00000X
AZRN185295163W00000X
AZ320698363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse