Individual provider · Type 1 NPI

Taylor M. Miguelino, PA

Medical Physician Assistant · Charlottesville, VA

NPI number 1407692791 Active

Practice location

1221 Lee St
Charlottesville, VA 22908-0001

Fax (434) 244-4504

Mailing address

PO Box 749112
Atlanta, GA 30374-9112

Other practice locations

  • 1215 Lee St, Charlottesville, VA 22908-0816 · (434) 924-0000

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician 207N00000X0110010179 (VA)
Medical Physician Assistant Primary 363AM0700X0110010179 (VA)

Medical Physician Assistant: Definition to come...

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About NPI 1407692791

Taylor M. Miguelino, PA's National Provider Identifier is 1407692791, issued on Jul 5, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Charlottesville, VA. The record was last updated on Aug 30, 2024.