Provider Demographics
NPI:1467674747
Name:TUREK, CATHY J (STNA)
Entity Type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:J
Last Name:TUREK
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24886 MOUNTZ RD
Mailing Address - Street 2:
Mailing Address - City:HOMEWORTH
Mailing Address - State:OH
Mailing Address - Zip Code:44634-9729
Mailing Address - Country:US
Mailing Address - Phone:330-525-7193
Mailing Address - Fax:
Practice Address - Street 1:24886 MOUNTZ RD
Practice Address - Street 2:
Practice Address - City:HOMEWORTH
Practice Address - State:OH
Practice Address - Zip Code:44634-9729
Practice Address - Country:US
Practice Address - Phone:330-525-7193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH400206500203376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2589533Medicaid