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NPI Code Detail

MEDICARE: MRS. MICHELLE CARLA TURE PNP

MEDICARE: MRS. MICHELLE CARLA TURE PNP
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
1363LP0200XPediatric Nurse Practitioner382204NY
2363LA2200XAdult Health Nurse Practitioner382204NY

General Provider Information

NPI Number : 1912293630
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELLE CARLA TURE PNP
Provider Business Mailing Address
First Line : 601 ELMWOOD AVE BOX 888
Second Line :
City : ROCHESTER
State : NY
Zip : 14642-0001
Country : US
Telephone Number : 585-341-0454
Fax Number :
Provider Business Practice Location Address
First Line : 1000 SOUTH AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14620-2782
Country : US
Telephone Number : 585-341-0454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2011
Last Update Date : 07/17/2023

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