Provider Demographics
NPI:1033477039
Name:TURNER, SARA THERESA (RN,MSN,NP,PHN)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:THERESA
Last Name:TURNER
Suffix:
Gender:F
Credentials:RN,MSN,NP,PHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4055 SAVANNAHS TRL
Mailing Address - Street 2:
Mailing Address - City:MERRITT ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32953-8606
Mailing Address - Country:US
Mailing Address - Phone:321-208-8135
Mailing Address - Fax:321-208-8135
Practice Address - Street 1:4055 SAVANNAHS TRL
Practice Address - Street 2:
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32953-8606
Practice Address - Country:US
Practice Address - Phone:321-208-8135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-26
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 9316380163W00000X
PARN542932163W00000X
NJ26NO08707800163W00000X
PASP007727363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse