Provider Demographics
NPI:1801776513
Name:TAYLOR, SCHANTELL SCHANTELL
Entity type:Individual
Prefix:
First Name:SCHANTELL
Middle Name:SCHANTELL
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2672 BEACON HILL DR APT 312
Mailing Address - Street 2:
Mailing Address - City:AUBURN HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48326-3736
Mailing Address - Country:US
Mailing Address - Phone:808-778-0120
Mailing Address - Fax:
Practice Address - Street 1:2672 BEACON HILL DR APT 312
Practice Address - Street 2:
Practice Address - City:AUBURN HILLS
Practice Address - State:MI
Practice Address - Zip Code:48326-3736
Practice Address - Country:US
Practice Address - Phone:808-778-0120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIT460760027310374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula