Provider Demographics
NPI:1295009611
Name:TURNER, CLAUDETTE VENETA (LPN)
Entity Type:Individual
Prefix:MISS
First Name:CLAUDETTE
Middle Name:VENETA
Last Name:TURNER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:493 MUNDY LN
Mailing Address - Street 2:# 1
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10550-4374
Mailing Address - Country:US
Mailing Address - Phone:914-374-6556
Mailing Address - Fax:
Practice Address - Street 1:493 MUNDY LN
Practice Address - Street 2:# 1
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-4374
Practice Address - Country:US
Practice Address - Phone:914-374-6556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-02
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY305325-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse