Provider Demographics
NPI:1477793735
Name:ROSEN-TURLEY, HEATHER LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:LYNN
Last Name:ROSEN-TURLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 N 14TH ST
Mailing Address - Street 2:
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-1679
Mailing Address - Country:US
Mailing Address - Phone:855-502-2273
Mailing Address - Fax:724-994-6839
Practice Address - Street 1:37 CARROLL AVENUE
Practice Address - Street 2:
Practice Address - City:KEYSER
Practice Address - State:WV
Practice Address - Zip Code:26726-1564
Practice Address - Country:US
Practice Address - Phone:855-502-2273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-26
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X
VA0101244874207Q00000X
OH57011276207Q00000X
PAMD444870207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA765314OtherUPMC
PA102681460Medicaid
002696024OtherHIGHMARK BLUE CROSS BLUE SHIELD
PA765314OtherUPMC