Provider Demographics
NPI:1790090561
Name:TURAY, SAUDATU NANAH (LPN)
Entity Type:Individual
Prefix:MISS
First Name:SAUDATU
Middle Name:NANAH
Last Name:TURAY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:NANAH
Other - Middle Name:
Other - Last Name:BANGURA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:1582 ROYAL GOLD DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43240-4000
Mailing Address - Country:US
Mailing Address - Phone:614-745-4736
Mailing Address - Fax:
Practice Address - Street 1:1582 ROYAL GOLD DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43240-4000
Practice Address - Country:US
Practice Address - Phone:614-745-4736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-17
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH123925164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse