Provider Demographics
NPI:1356963961
Name:TURNER, ANNA (PC-C)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:PC-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1287 CAPSTONE DR
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46140-2676
Mailing Address - Country:US
Mailing Address - Phone:317-793-7500
Mailing Address - Fax:
Practice Address - Street 1:1287 CAPSTONE DR
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:IN
Practice Address - Zip Code:46140-2676
Practice Address - Country:US
Practice Address - Phone:317-793-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-18
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN10002918A363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant