Basic Information
Provider Information
NPI: 1851772651
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TURNER
FirstName: MONIQUE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
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OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1800 W. CHARLESTON BLVD. STE 508
Address2:  
City: LAS VEGAS
State: NV
PostalCode: 89102
CountryCode: US
TelephoneNumber: 7023832688
FaxNumber: 7026716595
Practice Location
Address1: 9320 W. SAHARA AVE.
Address2:  
City: LAS VEGAS
State: NV
PostalCode: 89117
CountryCode: US
TelephoneNumber: 7023833633
FaxNumber: 7025622810
Other Information
ProviderEnumerationDate: 06/17/2015
LastUpdateDate: 08/07/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X2014564405UTN Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
363L00000XAPRN001984NVY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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