Provider Demographics
NPI:1871397240
Name:TAYCO, JOHN U (RN)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:U
Last Name:TAYCO
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11703 DALWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-7714
Mailing Address - Country:US
Mailing Address - Phone:714-391-1142
Mailing Address - Fax:
Practice Address - Street 1:11703 DALWOOD AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-7714
Practice Address - Country:US
Practice Address - Phone:714-391-1142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95254542163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine