MEDICARE: BYRDIA L TURNER

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	376J00000X	Homemaker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	200853610 A	OTHER	IN	PROVIDER NUMLOC

General Provider Information

NPI Number	:	1548481104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BYRDIA L TURNER

Provider Business Mailing Address
First Line	:	2947 N. COLORADO AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46218-3116
Country	:	US
Telephone Number	:	317-357-9301
Fax Number	:

Provider Business Practice Location Address
First Line	:	2947 N. COLORADO AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46218-3116
Country	:	US
Telephone Number	:	317-357-9301
Fax Number	:

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

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	01/11/2011

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Directions to “ BYRDIA L TURNER ” Practice Location

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