Provider Demographics
NPI:1356681084
Name:TURNER, TASHA L (BSN, RN)
Entity Type:Individual
Prefix:
First Name:TASHA
Middle Name:L
Last Name:TURNER
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 POMEROY ST
Mailing Address - Street 2:(MAIL TO: P.O. BOX 77414 ROCHESTER, NY 14617)
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14621-4071
Mailing Address - Country:US
Mailing Address - Phone:585-713-4522
Mailing Address - Fax:
Practice Address - Street 1:71 POMEROY ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-4071
Practice Address - Country:US
Practice Address - Phone:585-713-4522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-16
Last Update Date:2013-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY631492163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse