Healthcare Provider Details

I. General information

NPI: 1205383254
Provider Name (Legal Business Name): ALFTAN DEANN TURNER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2016
Last Update Date: 09/30/2024
Certification Date: 09/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1968 PEACHTREE RD NW
ATLANTA GA
30309-1281
US

IV. Provider business mailing address

PO BOX 945384
ATLANTA GA
30394-5384
US

V. Phone/Fax

Practice location:
  • Phone: 516-945-3000
  • Fax: 704-248-5537
Mailing address:
  • Phone: 516-945-5000
  • Fax: 704-248-5537

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberGAA-CRNA002616
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number1-115402
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: