Individual provider · Type 1 NPI
Taylor Malta, AGNP-C
Adult Health Nurse Practitioner · Rochester, NY
NPI number
1720659626
Active
Practice location
601 Elmwood Ave
Rochester, NY 14642-0002
Mailing address
398 Thrushwood Ln
Webster, NY 14580-1468
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neuropathology Physician | 207ZN0500X | 310262 (NY) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 310262 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1720659626
Taylor Malta, AGNP-C's National Provider Identifier is 1720659626, issued on Jul 2, 2021. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Rochester, NY. The record was last updated on Jul 17, 2023.