Provider Demographics
NPI:1619732096
Name:TURNAGE, SHATIANA C
Entity Type:Individual
Prefix:
First Name:SHATIANA
Middle Name:C
Last Name:TURNAGE
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 1:335 RIGHTERS FERRY RD APT 207
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-1742
Mailing Address - Country:US
Mailing Address - Phone:267-603-1077
Mailing Address - Fax:
Practice Address - Street 1:335 RIGHTERS FERRY RD APT 207
Practice Address - Street 2:
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-1742
Practice Address - Country:US
Practice Address - Phone:267-603-1077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula