Micheala Renae Taylor, GTA-DOSTUDENT
Micheala Renae Taylor, GTA-DOSTUDENT is a Family Practice in Aberdeen, South Dakota. Qualified in 2021, 5 years ago. Practices with Sanford Health Network, a 364-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Dakota.
- Years since qualifying
- 5
- Licensed in
- SD
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
Aberdeen, SDNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 1464 North Jefferson Street, Lewisburg, WV 24901 — (304) 645-3220
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 15511 (SD) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1770053308 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | GTA-DOSTUDENT |
| Sole proprietor | No |
| NPI enumerated | November 27, 2018 |
| Last updated in NPPES | September 18, 2024 |
| Certification date | September 18, 2024 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Sanford Health Network — 364 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
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Dr. Nida Maham
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Elizabeth Millsap
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Amanda Ochoa
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