Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maurisa Shae Taylor, PA

Individual provider Physician Assistant · NPI 1215654546

Maurisa Shae Taylor, PA is a Physician Assistant in Longmont, Colorado. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2425 Emery St
Longmont, CO 80501-1104
Phone: (303) 620-6068
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1215654546
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 26, 2022
Last updated in NPPESOctober 26, 2022
Certification dateOctober 26, 2022

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