Provider Demographics
NPI:1982894507
Name:TURNER, ALOTTA CARRIE (STNA)
Entity Type:Individual
Prefix:MRS
First Name:ALOTTA
Middle Name:CARRIE
Last Name:TURNER
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41995 COUNTY RD. 318
Mailing Address - Street 2:P.O. BOX 5021
Mailing Address - City:BLISSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:43805-0021
Mailing Address - Country:US
Mailing Address - Phone:740-824-4940
Mailing Address - Fax:740-824-4940
Practice Address - Street 1:41995 COUNTY RD. 318
Practice Address - Street 2:
Practice Address - City:BLISSFIELD
Practice Address - State:OH
Practice Address - Zip Code:43805-0021
Practice Address - Country:US
Practice Address - Phone:740-824-4940
Practice Address - Fax:740-824-4940
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH400574160107374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2715851Medicare PIN