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

Mrs. Martha Marie Taylor, PA-C

Individual provider Athletic Trainer · NPI 1336705490

Mrs. Martha Marie Taylor, PA-C is an Athletic Trainer in Green Bay, Wisconsin. Licensed in Minnesota and Wisconsin. Registered with an NPI since 2019.

Licensed in
MN, WI
In the registry since
2019
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1970 S Ridge Rd
Green Bay, WI 54304-4125
Phone: (920) 430-4888
Fax: (920) 430-4889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5583-23 (WI)
Athletic Trainer Taxonomy 2255A2300X
Physician Assistant Taxonomy 363A00000X · Licence 13156 (MN)

Record details

NPI number1336705490
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 14, 2019
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023

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