Provider Demographics
NPI:1588823348
Name:TURNBOW, NOELLE ROSE (MD)
Entity Type:Individual
Prefix:
First Name:NOELLE
Middle Name:ROSE
Last Name:TURNBOW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NOELLE
Other - Middle Name:ROSE
Other - Last Name:NIEMAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:5153 N 9TH AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-5719
Mailing Address - Country:US
Mailing Address - Phone:850-416-2559
Mailing Address - Fax:850-416-2539
Practice Address - Street 1:5153 N 9TH AVE STE 205
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-5719
Practice Address - Country:US
Practice Address - Phone:850-416-2559
Practice Address - Fax:850-416-2539
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-06
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME146448207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLTXB164096OtherMEDICARE PIN
FL310882101Medicaid