Provider Demographics
NPI:1619260163
Name:TURNER, NORA KAY (LPN)
Entity Type:Individual
Prefix:MRS
First Name:NORA
Middle Name:KAY
Last Name:TURNER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MRS
Other - First Name:NORA
Other - Middle Name:KAY
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:254 N PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13601-2962
Mailing Address - Country:US
Mailing Address - Phone:315-767-8350
Mailing Address - Fax:
Practice Address - Street 1:254 N PLEASANT ST
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:NY
Practice Address - Zip Code:13601-2962
Practice Address - Country:US
Practice Address - Phone:315-767-8350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-17
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY205797-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY164W00000XMedicaid