Provider Demographics
NPI:1497068746
Name:TURNEY HEALTHCARE LLC
Entity Type:Organization
Organization Name:TURNEY HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNEY
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:928-541-7995
Mailing Address - Street 1:957 BLACK DR
Mailing Address - Street 2:B
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86305-1403
Mailing Address - Country:US
Mailing Address - Phone:928-541-7995
Mailing Address - Fax:927-771-9159
Practice Address - Street 1:957 BLACK DR
Practice Address - Street 2:B
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86305-1403
Practice Address - Country:US
Practice Address - Phone:928-541-7995
Practice Address - Fax:927-771-9159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-15
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP1248363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty