Provider Demographics
NPI:1982076691
Name:TURNER, NETTIE (RN)
Entity Type:Individual
Prefix:
First Name:NETTIE
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7212 STANHOPE KELLOGGSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44093-9708
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7212 STANHOPE KELLOGGSVILLE RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44093-9708
Practice Address - Country:US
Practice Address - Phone:440-994-9236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-21
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN360189163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse