Provider Demographics
NPI:1265904775
Name:TURNER'COLEMAN, DENISE
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:TURNER'COLEMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7409 S 39TH DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85041-6002
Mailing Address - Country:US
Mailing Address - Phone:602-907-7378
Mailing Address - Fax:602-314-6694
Practice Address - Street 1:7409 S 39TH DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85041-6002
Practice Address - Country:US
Practice Address - Phone:602-314-6694
Practice Address - Fax:602-314-6694
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-21
Last Update Date:2018-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
372600000X
AZ1860933372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion