Basic Information
Provider Information
NPI: 1578947511
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TURNER
FirstName: SABRINA
MiddleName: DAWN
NamePrefix:  
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 743
Address2:  
City: GARDEN VALLEY
State: CA
PostalCode: 95633
CountryCode: US
TelephoneNumber: 9166462770
FaxNumber:  
Practice Location
Address1: 1201 E. BIDWELL STREET
Address2:  
City: FOLSOM
State: CA
PostalCode: 95630
CountryCode: US
TelephoneNumber: 9169206337
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/18/2015
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X95002467CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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