Provider Demographics
NPI:1174285290
Name:TURNQUEST, SHAVONNE (NURSES AIDE)
Entity Type:Individual
Prefix:
First Name:SHAVONNE
Middle Name:
Last Name:TURNQUEST
Suffix:
Gender:F
Credentials:NURSES AIDE
Other - Prefix:
Other - First Name:SHAVONNE
Other - Middle Name:
Other - Last Name:BURROWS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LIFE IS 4 THE LIVING
Mailing Address - Street 1:820 SW 6TH CT APT B
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-8494
Mailing Address - Country:US
Mailing Address - Phone:561-519-8390
Mailing Address - Fax:
Practice Address - Street 1:820 SW 6TH CT APT B
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-8494
Practice Address - Country:US
Practice Address - Phone:561-519-8390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-06
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide