Provider Demographics
NPI:1477876571
Name:THOMAS-TURNER, PAULLETE ANGELLA
Entity Type:Individual
Prefix:MRS
First Name:PAULLETE
Middle Name:ANGELLA
Last Name:THOMAS-TURNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109-15 MERRICK BLVD
Mailing Address - Street 2:APT 6F
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11433-3047
Mailing Address - Country:US
Mailing Address - Phone:718-739-7886
Mailing Address - Fax:
Practice Address - Street 1:109-15 MERRICK BLVD
Practice Address - Street 2:APT 6F
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11433-3047
Practice Address - Country:US
Practice Address - Phone:718-739-7886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-04
Last Update Date:2010-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2078632-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse