Provider Demographics
NPI:1437667516
Name:TURNER, LAURA (RN)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4070 MONTECITO AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95404-1924
Mailing Address - Country:US
Mailing Address - Phone:415-786-4190
Mailing Address - Fax:
Practice Address - Street 1:625 5TH STREET
Practice Address - Street 2:DHS- MCAH- FIELD NURSING
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:94504
Practice Address - Country:US
Practice Address - Phone:415-786-4190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-11
Last Update Date:2018-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA817613163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health