Healthcare Provider Details

I. General information

NPI: 1407535933
Provider Name (Legal Business Name): IRINA TURLEA FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2023
Last Update Date: 04/15/2024
Certification Date: 04/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E REDLANDS BLVD
SAN BERNARDINO CA
92408-3710
US

IV. Provider business mailing address

9007 BLUFF ST
BANNING CA
92220-1523
US

V. Phone/Fax

Practice location:
  • Phone: 909-558-4709
  • Fax:
Mailing address:
  • Phone: 951-692-1762
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95024007
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number688140
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: