Provider Demographics
NPI:1629405089
Name:TURSKI, SHELLY LYNN (RN MSN NP-C)
Entity Type:Individual
Prefix:MRS
First Name:SHELLY
Middle Name:LYNN
Last Name:TURSKI
Suffix:
Gender:F
Credentials:RN MSN NP-C
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Mailing Address - Street 1:2755 SHORELAND AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43611-1177
Mailing Address - Country:US
Mailing Address - Phone:419-479-7000
Mailing Address - Fax:419-473-9758
Practice Address - Street 1:2755 SHORELAND AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43611-1177
Practice Address - Country:US
Practice Address - Phone:419-479-7000
Practice Address - Fax:419-473-9758
Is Sole Proprietor?:No
Enumeration Date:2013-10-01
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHCOA.14772-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0098934Medicaid
MI1629405089Medicaid
OHCOA14772NPOtherOH CNP LICENSE
OH0098934Medicaid