Healthcare Provider Details

I. General information

NPI: 1871743492
Provider Name (Legal Business Name): LAURA LINN TURK FNP-BC, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURA LINN KALAK FNP-BC

II. Dates (important events)

Enumeration Date: 09/19/2008
Last Update Date: 05/28/2022
Certification Date: 05/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4328 N COUNTRY RD 19
FORT COLLINS CO
80524-9748
US

IV. Provider business mailing address

PO BOX 719
LAPORTE CO
80535-0719
US

V. Phone/Fax

Practice location:
  • Phone: 970-645-6228
  • Fax:
Mailing address:
  • Phone: 970-645-6228
  • Fax: 970-669-7521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number160489
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPN.0005746-NP
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.0005746-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: