Provider Demographics
NPI:1972132322
Name:TURNER, CATILDA (APRN)
Entity Type:Individual
Prefix:
First Name:CATILDA
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 INGELL ST APT 109
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-3562
Mailing Address - Country:US
Mailing Address - Phone:774-322-8820
Mailing Address - Fax:
Practice Address - Street 1:120 INGELL ST APT 109
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-3562
Practice Address - Country:US
Practice Address - Phone:774-322-8820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-07
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2314947363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily