Provider Demographics
NPI:1881476562
Name:TURNER, TANAYA L
Entity type:Individual
Prefix:
First Name:TANAYA
Middle Name:L
Last Name:TURNER
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 1:45693 SPRUCE DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20653-6319
Mailing Address - Country:US
Mailing Address - Phone:301-613-3205
Mailing Address - Fax:
Practice Address - Street 1:45693 SPRUCE DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON PARK
Practice Address - State:MD
Practice Address - Zip Code:20653-6319
Practice Address - Country:US
Practice Address - Phone:301-613-3205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant