National Provider Identifier

Glendena T Taylor, FNP

Glendena T Taylor, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Elmira, NY and a listed phone number of (607) 737-7770.

NPI 1144706110Elmira, NYFamily Nurse Practitioner

Profile Overview

NPI
1144706110
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
July 12, 2018
Last Updated
December 01, 2020

Practice Location

  • 600 Roe Ave
  • Elmira, NY 14905-1629

Phone: (607) 737-7770

Mailing Address

  • 571 Saint Josephs Blvd Fl 2
  • Elmira, NY 14901-3230

Specialties

  • Family Nurse Practitioner (363LF0000X)
  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1144706110
Entity Type
Individual
Last Name
Taylor
First Name
Glendena
Middle Name
T
Credential
FNP
Mailing Street Address
571 Saint Josephs Blvd Fl 2
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-3230
Mailing Country
US
Mailing Phone
(607) 271-2050
Mailing Fax
(607) 873-1244
Practice Street Address
600 Roe Ave
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14905-1629
Practice Country
US
Practice Phone
(607) 737-7770
Practice Fax
(607) 271-3686
Enumeration Date
July 12, 2018
Last Updated
December 01, 2020
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 2
193200000X Multi-Specialty Group
Certification Date
December 01, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X), Family Nurse Practitioner (363LF0000X)
Other Identifiers
103715456 (PA), 05743559 (NY)