Healthcare Provider Details

I. General information

NPI: 1891660627
Provider Name (Legal Business Name): CORY D TURCO AGACNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2025
Last Update Date: 10/10/2025
Certification Date: 09/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

359 REDMOND RD
POTTSVILLE AR
72858-9186
US

IV. Provider business mailing address

359 REDMOND RD
POTTSVILLE AR
72858-9186
US

V. Phone/Fax

Practice location:
  • Phone: 520-331-6089
  • Fax:
Mailing address:
  • Phone: 520-331-6089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number235044
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: