IndividualActive
Taylor Larue
NPI 1649073214 · Basic Emergency Medical Technician · Coolidge, AZ
Provider details
- NPI number
- 1649073214
- Entity type
- Individual
- Primary specialty
- Basic Emergency Medical TechnicianEmergency Medical Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- AZ00013304 (AZ)
Specialties & taxonomies
Emergency Medical Service Providers
Practice location
4644 W Cinnamon Ave
Coolidge, AZ 85128-8298
Phone: (480) 828-0265
Approximate (ZIP-level) locationGet directions
Mailing address
4644 W Cinnamon Ave
Coolidge, AZ 85128-8298
Registry dates
- Enumerated
- 2025-03-29
- Last updated
- 2025-03-29
- Certified
- 2025-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.