MEDICARE: CHRISTINE DELORES TURNER LPN

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
1	164W00000X	Licensed Practical Nurse	130303	OH

General Provider Information

NPI Number	:	1548145097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE DELORES TURNER LPN

Provider Business Mailing Address
First Line	:	5912 HOSMER AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44105-3534
Country	:	US
Telephone Number	:	234-400-9132
Fax Number	:

Provider Business Practice Location Address
First Line	:	20611 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44117-1521
Country	:	US
Telephone Number	:	855-967-2436
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2025
Last Update Date	:	08/06/2025

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