Individual provider · Type 1 NPI

Nikki Tinay Taylor, MD

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1194475236 Active

Practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Call (313) 916-7317 Map

Mailing address

3075 W Grand Blvd Apt 507
Detroit, MI 48202-3170

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000X4301513139 (MI)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194475236

Nikki Tinay Taylor, MD's National Provider Identifier is 1194475236, issued on Mar 23, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Oct 25, 2024.