Healthcare Provider Details

I. General information

NPI: 1679870182
Provider Name (Legal Business Name): TURNER NURSING ANESTHESIA, INC, A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2011
Last Update Date: 03/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 LAKESIDE AVE
REDLANDS CA
92373-4941
US

IV. Provider business mailing address

121 LAKESIDE AVE
REDLANDS CA
92373-4941
US

V. Phone/Fax

Practice location:
  • Phone: 909-289-3255
  • Fax: 909-307-0333
Mailing address:
  • Phone: 909-289-3255
  • Fax: 909-307-0333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number2669
License Number StateCA

VIII. Authorized Official

Name: CRAIG TURNER
Title or Position: OWNER
Credential: CRNA
Phone: 909-289-3255