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NPI Code Detail

MEDICARE: TURNER SCOTT RAFTER I BSN

MEDICARE: TURNER SCOTT RAFTER I BSN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1447748017
Entity Type Code : Individual
Provider Name (Legal Business Name) : TURNER SCOTT RAFTER I BSN
Provider Business Mailing Address
First Line : 2900 UNIVERSITY AVE SE APT 511
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55414-3738
Country : US
Telephone Number : 573-647-9551
Fax Number :
Provider Business Practice Location Address
First Line : 2900 UNIVERSITY AVE SE APT 511
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55414-3738
Country : US
Telephone Number : 573-647-9551
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2018
Last Update Date : 04/28/2018

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