Healthcare Provider Details

I. General information

NPI: 1790751303
Provider Name (Legal Business Name): SUSAN K. TURNER CNM, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 07/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 SAINT HELENA HWY S
SAINT HELENA CA
94574-2266
US

IV. Provider business mailing address

1001 ADAMS ST SUITE 102
SAINT HELENA CA
94574-1180
US

V. Phone/Fax

Practice location:
  • Phone: 707-963-5006
  • Fax: 707-963-5083
Mailing address:
  • Phone: 707-968-2865
  • Fax: 707-963-9185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberCNM930
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberNP5763
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: