Provider Demographics
NPI:1497855688
Name:TURPEN-FOLKS, HEIDI RENEE (PA)
Entity Type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:RENEE
Last Name:TURPEN-FOLKS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MS
Other - First Name:HEIDI
Other - Middle Name:RENEE
Other - Last Name:TURPEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:EMT
Mailing Address - Street 1:1055 N 500 W
Mailing Address - Street 2:ATTN CREDENTIALING
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604
Mailing Address - Country:US
Mailing Address - Phone:801-354-8225
Mailing Address - Fax:801-418-0941
Practice Address - Street 1:2825 E MALL DR
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-1954
Practice Address - Country:US
Practice Address - Phone:435-628-9393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18571363A00000X
UT12807150-1206363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant