Provider Demographics
NPI:1679251425
Name:TURUCZ, ASHLEY MICHELLE (AGPCNP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MICHELLE
Last Name:TURUCZ
Suffix:
Gender:F
Credentials:AGPCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:625 ALEXA RIDGE RD APT 312
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34747-2448
Mailing Address - Country:US
Mailing Address - Phone:331-222-6759
Mailing Address - Fax:
Practice Address - Street 1:1529 SUNRISE PLAZA DR STE 6
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34714-6202
Practice Address - Country:US
Practice Address - Phone:352-243-4422
Practice Address - Fax:352-242-4766
Is Sole Proprietor?:No
Enumeration Date:2023-07-10
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2023004684208D00000X
FL11034262363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice