Basic Information
Provider Information
NPI: 1013249291
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TURKNETT
FirstName: VELIA
MiddleName: INEZ
NamePrefix:  
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2960 TONGASS AVE
Address2:  
City: KETCHIKAN
State: AK
PostalCode: 999015742
CountryCode: US
TelephoneNumber: 9072284900
FaxNumber: 9072285287
Practice Location
Address1: 2960 TONGASS AVE
Address2:  
City: KETCHIKAN
State: AK
PostalCode: 999015742
CountryCode: US
TelephoneNumber: 9072284900
FaxNumber: 9072285287
Other Information
ProviderEnumerationDate: 02/12/2010
LastUpdateDate: 02/12/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X21348AKY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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