Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON V. TAYLOR, PA-C
ActiveMedical Physician Assistant · ROCKFORD, IL
Registration Details
- NPI Number
- 1265412084
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 18, 2006 (20.25771819472 yrs)
- Last Updated
- Sep 21, 2011
- License
-
085001215 (IL)
Practice Information
- Address
-
698 FEATHERSTONE RDROCKFORD, IL, 611076303Browse IL providers · Browse ZIP 61107
- Phone
- 8153983277
- Fax
- 8154847001
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in ROCKFORD, IL
| Name | Credential | NPI |
|---|---|---|
| MS. KRISTIN N. RINDT | MPAS, PA-C | 1295722411 |
| MARK VANANROOY | PA | 1578541470 |
| MR. ANDREW J MASTERSON | PA-C | 1710922695 |
| TAMMY M KUCIA | PA C | 1164533097 |
| LEIGH A. RUELO | PA-C | 1902969231 |
| BRIANA RUSSOM | PA-C | 1558661702 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.