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NPI Code Detail

MEDICARE: PATRICK TURNER CRNA

MEDICARE: PATRICK TURNER CRNA
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
1367500000XCertified Registered Nurse AnesthetistARNP9253011FL
2367500000XCertified Registered Nurse AnesthetistAPRN94382-CRNAWV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PENDINGOTHERFLBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649591975
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK TURNER CRNA
Provider Business Mailing Address
First Line : 100 PIN OAK LN
Second Line :
City : KEYSER
State : WV
Zip : 26726-5908
Country : US
Telephone Number : 304-597-3500
Fax Number : 304-597-3513
Provider Business Practice Location Address
First Line : 100 PIN OAK LN
Second Line :
City : KEYSER
State : WV
Zip : 26726-5908
Country : US
Telephone Number : 304-597-3500
Fax Number : 304-597-3513
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2010
Last Update Date : 09/01/2016

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