Provider Demographics
NPI:1356165443
Name:TURNEY, BERNADETTE MAGEN
Entity type:Individual
Prefix:
First Name:BERNADETTE
Middle Name:MAGEN
Last Name:TURNEY
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 1:6600 E 390 RD APT 45
Mailing Address - Street 2:
Mailing Address - City:OOLOGAH
Mailing Address - State:OK
Mailing Address - Zip Code:74053-5303
Mailing Address - Country:US
Mailing Address - Phone:918-289-1792
Mailing Address - Fax:
Practice Address - Street 1:6600 E 390 RD APT 45
Practice Address - Street 2:
Practice Address - City:OOLOGAH
Practice Address - State:OK
Practice Address - Zip Code:74053-5303
Practice Address - Country:US
Practice Address - Phone:918-289-1792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-14
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist