Basic Information
| Provider Information | |||||||||
| NPI: | 1467018309 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TURBIN | ||||||||
| FirstName: | VITALIY | ||||||||
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| Credential: | CNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2653 N MORELAND BLVD APT 17 | ||||||||
| Address2: | |||||||||
| City: | SHAKER HEIGHTS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441201400 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2165561626 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2601 N TENAYA WAY | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891280427 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7022334950 | ||||||||
| FaxNumber: | 7024737158 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/16/2019 | ||||||||
| LastUpdateDate: | 05/16/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 819187 | NV | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.