Provider Demographics
NPI:1942854567
Name:TURAY, AMANDA ISATU (REGISTERED NURSE MSN)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:ISATU
Last Name:TURAY
Suffix:
Gender:F
Credentials:REGISTERED NURSE MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7217 LOCKPORT PL STE 211
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-1584
Mailing Address - Country:US
Mailing Address - Phone:703-337-2357
Mailing Address - Fax:703-337-2109
Practice Address - Street 1:7217 LOCKPORT PL STE 211
Practice Address - Street 2:
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-1584
Practice Address - Country:US
Practice Address - Phone:703-337-2357
Practice Address - Fax:703-337-2109
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-31
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-2121251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health