Provider Demographics
NPI:1083984322
Name:TURNER, DIANE CRAIG (RN,WHNP)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:CRAIG
Last Name:TURNER
Suffix:
Gender:F
Credentials:RN,WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 S. MAIN STREET, RM. 1500B
Mailing Address - Street 2:
Mailing Address - City:FT. WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104
Mailing Address - Country:US
Mailing Address - Phone:817-321-4813
Mailing Address - Fax:817-321-4809
Practice Address - Street 1:1101 S MAIN ST RM 1500B
Practice Address - Street 2:
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-4802
Practice Address - Country:US
Practice Address - Phone:817-321-4813
Practice Address - Fax:817-321-4809
Is Sole Proprietor?:No
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX429131363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health