Healthcare Provider Details

I. General information

NPI: 1669119020
Provider Name (Legal Business Name): SAMEKIA L TURNER REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2022
Last Update Date: 06/06/2022
Certification Date: 06/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 S PARKSIDE DR
COLORADO SPRINGS CO
80910-3130
US

IV. Provider business mailing address

115 S PARKSIDE DR
COLORADO SPRINGS CO
80910-3130
US

V. Phone/Fax

Practice location:
  • Phone: 719-572-6111
  • Fax:
Mailing address:
  • Phone: 719-572-6111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number1680237
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: