Provider Demographics
NPI:1336441153
Name:TURNBULL, SANDRA L (NP)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:L
Last Name:TURNBULL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:L
Other - Last Name:BAGUNU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:2021 HERNDON AVE
Mailing Address - Street 2:STE. 101
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-6101
Mailing Address - Country:US
Mailing Address - Phone:559-797-4315
Mailing Address - Fax:559-797-1651
Practice Address - Street 1:2021 HERNDON AVE
Practice Address - Street 2:STE. 101
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93611-6101
Practice Address - Country:US
Practice Address - Phone:559-797-4315
Practice Address - Fax:559-797-1651
Is Sole Proprietor?:No
Enumeration Date:2010-11-30
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP12188363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily