Provider Demographics
NPI:1033468202
Name:TURNER, TANYA NICOLE (FNP-C)
Entity Type:Individual
Prefix:
First Name:TANYA
Middle Name:NICOLE
Last Name:TURNER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20715 E OCOTILLO RD
Mailing Address - Street 2:STE. 102
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-6118
Mailing Address - Country:US
Mailing Address - Phone:480-987-0987
Mailing Address - Fax:480-987-0940
Practice Address - Street 1:20715 E OCOTILLO RD
Practice Address - Street 2:STE. 102
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85142-6118
Practice Address - Country:US
Practice Address - Phone:480-987-0987
Practice Address - Fax:480-987-0940
Is Sole Proprietor?:No
Enumeration Date:2012-09-04
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP4554363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily