Provider Demographics
NPI:1912781626
Name:TURNEY, NICHOLE BRENAYE (RN)
Entity Type:Individual
Prefix:
First Name:NICHOLE
Middle Name:BRENAYE
Last Name:TURNEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:NICHOLE
Other - Middle Name:BRENAYE
Other - Last Name:TURPIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 1710
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-0516
Mailing Address - Country:US
Mailing Address - Phone:541-316-7521
Mailing Address - Fax:
Practice Address - Street 1:676 NE MAPLE AVE
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-8527
Practice Address - Country:US
Practice Address - Phone:541-316-7521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10000053163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)