Provider Demographics
NPI:1619918927
Name:TURKALY, SHARON L (CRNA)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:L
Last Name:TURKALY
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:RR 2 BOX 170B
Mailing Address - Street 2:4 CRESTON ROAD
Mailing Address - City:COTTAGEVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25239-9532
Mailing Address - Country:US
Mailing Address - Phone:304-545-0965
Mailing Address - Fax:
Practice Address - Street 1:RR 2 BOX 170B
Practice Address - Street 2:4 CRESTON ROAD
Practice Address - City:COTTAGEVILLE
Practice Address - State:WV
Practice Address - Zip Code:25239-9532
Practice Address - Country:US
Practice Address - Phone:304-545-0965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV35526367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV001775623OtherBCBS
WV0279318Medicaid
WVP00001161OtherRR MEDICARE
WV232946909OtherTRICARE
WV001775623OtherMSBCBS
WV1069143OtherWV WORKER'S COMP