Provider Demographics
NPI:1518926674
Name:TURNER, ANTONIA MARIE (CRNA)
Entity Type:Individual
Prefix:MS
First Name:ANTONIA
Middle Name:MARIE
Last Name:TURNER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2888 CROYDON DR
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82609-3824
Mailing Address - Country:US
Mailing Address - Phone:702-523-1904
Mailing Address - Fax:
Practice Address - Street 1:1441 WILKINS CIR
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-1337
Practice Address - Country:US
Practice Address - Phone:307-233-2714
Practice Address - Fax:307-237-8106
Is Sole Proprietor?:No
Enumeration Date:2006-03-18
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000021002367500000X
NV000149367500000X
WY46987367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered