Provider Demographics
NPI:1124384813
Name:LETURNO, MARGIE MAUREEN (APRN)
Entity Type:Individual
Prefix:MRS
First Name:MARGIE
Middle Name:MAUREEN
Last Name:LETURNO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7006 W GULF TO LAKE HWY
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL RIVER
Mailing Address - State:FL
Mailing Address - Zip Code:34429-7838
Mailing Address - Country:US
Mailing Address - Phone:352-795-8309
Mailing Address - Fax:352-795-8369
Practice Address - Street 1:7006 W GULF TO LAKE HWY
Practice Address - Street 2:
Practice Address - City:CRYSTAL RIVER
Practice Address - State:FL
Practice Address - Zip Code:34429-7838
Practice Address - Country:US
Practice Address - Phone:352-795-8309
Practice Address - Fax:352-795-8369
Is Sole Proprietor?:No
Enumeration Date:2012-04-06
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN2737432363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL014560600Medicaid
XO1ZYOtherBCBS