Provider Demographics
NPI:1386653640
Name:TURNER, MARY S (NP)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:S
Last Name:TURNER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 SCIENCE PKWY
Mailing Address - Street 2:STRONG BEHAVIORAL HEALTH OLDER ADULTS
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-4257
Mailing Address - Country:US
Mailing Address - Phone:585-279-7825
Mailing Address - Fax:585-256-1984
Practice Address - Street 1:315 SCIENCE PKWY
Practice Address - Street 2:STRONG BEHAVIORAL HEALTH OLDER ADULTS
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-4257
Practice Address - Country:US
Practice Address - Phone:585-279-7825
Practice Address - Fax:585-256-1984
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF400137-1363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYS28757Medicare ID - Type UnspecifiedNP