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Taylor Nicole Christmann-Fishman

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

4350 Us 421 S, Lillington, NC 27546-6760

PECOS Enrollment

This provider is enrolled in PECOS as TAYLOR CHRISTMANN-FISHMAN.

Based on the most recent information from CMS, provider Taylor Nicole Christmann-Fishman is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1427828300
Provider Type
Individual
Full Name
Christmann-Fishman, Taylor Nicole
Gender
Female

Sole Proprietor
No
Enumeration Date
1/3/2024
Last Updated
9/12/2024

Contact Information

Practice Location

4350 Us 421 S, Lillington, NC 27546-6760

(910) 893-1210

Unlisted Fax

Mailing Location

626 Castlepointe Dr, Fuquay Varina, NC 27526-3824

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 0010-14518 North Carolina
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Taylor Nicole Christmann-Fishman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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