Healthcare Provider Details

I. General information

NPI: 1548858640
Provider Name (Legal Business Name): TONI L TURCK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2021
Last Update Date: 01/05/2021
Certification Date: 01/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2804 FOREST AVE RM HI107
DES MOINES IA
50311-3010
US

IV. Provider business mailing address

543 KELSEY LN
ALTOONA IA
50009-2567
US

V. Phone/Fax

Practice location:
  • Phone: 515-707-1499
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: