Healthcare Provider Details

I. General information

NPI: 1356481840
Provider Name (Legal Business Name): EILEEN LOUISE TURNER RN,MPA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EILEEN LOUISE MCELLIGOTT RN

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 POTRERO AVE
SAN FRANCISCO CA
94110-3518
US

IV. Provider business mailing address

1001 POTRERO AVE
SAN FRANCISCO CA
94110-3518
US

V. Phone/Fax

Practice location:
  • Phone: 415-206-5944
  • Fax: 415-206-6012
Mailing address:
  • Phone: 415-206-5944
  • Fax: 415-206-6012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberRN160193
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: