Provider Demographics
NPI:1114477510
Name:TURKO, ELISA (APRN)
Entity Type:Individual
Prefix:
First Name:ELISA
Middle Name:
Last Name:TURKO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ELISA
Other - Middle Name:
Other - Last Name:DUPUIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3251 3RD AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-8506
Mailing Address - Country:US
Mailing Address - Phone:727-321-3854
Mailing Address - Fax:727-327-7670
Practice Address - Street 1:2105 N NEBRASKA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-2558
Practice Address - Country:US
Practice Address - Phone:813-232-3808
Practice Address - Fax:727-327-7670
Is Sole Proprietor?:No
Enumeration Date:2016-10-10
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR210288363LP2300X
FLAPRN11001790363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care