Provider Demographics
NPI:1528386638
Name:TURNER, TAMMY
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:
Last Name: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 1:925 LONG SHADOW LANE
Mailing Address - Street 2:
Mailing Address - City:ROAMING SHORES
Mailing Address - State:OH
Mailing Address - Zip Code:44085
Mailing Address - Country:US
Mailing Address - Phone:440-563-5931
Mailing Address - Fax:
Practice Address - Street 1:925 LONG SHADOW LN
Practice Address - Street 2:
Practice Address - City:ROAMING SHORES
Practice Address - State:OH
Practice Address - Zip Code:44085-9769
Practice Address - Country:US
Practice Address - Phone:440-563-5931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-13
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH326536163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse