Provider Demographics
NPI:1497118111
Name:TURNBLOOM, NORA (MT-BC)
Entity Type:Individual
Prefix:
First Name:NORA
Middle Name:
Last Name:TURNBLOOM
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 29TH AVE SE APT F
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414-2764
Mailing Address - Country:US
Mailing Address - Phone:303-870-4187
Mailing Address - Fax:
Practice Address - Street 1:1015 29TH AVE SE APT F
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55414-2764
Practice Address - Country:US
Practice Address - Phone:303-870-4187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-30
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist