Basic Information
| Provider Information | |||||||||
| NPI: | 1629056742 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TURNER | ||||||||
| FirstName: | CHRISTINE | ||||||||
| MiddleName: | LOUISE | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3633 SYCAMORE DR | ||||||||
| Address2: | |||||||||
| City: | ERIE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 165051763 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8148362862 | ||||||||
| FaxNumber: | 8148362862 | ||||||||
| Practice Location | |||||||||
| Address1: | 145 W 23RD ST | ||||||||
| Address2: | SUITE 202 | ||||||||
| City: | ERIE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 165022858 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8144518008 | ||||||||
| FaxNumber: | 8144561528 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/09/2006 | ||||||||
| LastUpdateDate: | 06/07/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AM0700X | MA050768 | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical | 363AS0400X | MA050768 | PA | N | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Surgical |
No ID Information.