Basic Information
Provider Information
NPI: 1821573460
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TURNER
FirstName: ANNA
MiddleName: ELIZABETH
NamePrefix: MRS.
NameSuffix:  
Credential: FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2616 ARDSLEY DR
Address2:  
City: DURHAM
State: NC
PostalCode: 277044004
CountryCode: US
TelephoneNumber: 9193022986
FaxNumber:  
Practice Location
Address1: 4003 N ROXBORO ST
Address2:  
City: DURHAM
State: NC
PostalCode: 277042119
CountryCode: US
TelephoneNumber: 9192203333
FaxNumber: 9192206317
Other Information
ProviderEnumerationDate: 09/29/2018
LastUpdateDate: 09/29/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X262159NCY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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