Healthcare Provider Details

I. General information

NPI: 1184532020
Provider Name (Legal Business Name): NAIA NEO TURNER EMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ALLISON WAY
INDIANAPOLIS IN
46222-3271
US

IV. Provider business mailing address

1114 E MARKWOOD AVE
INDIANAPOLIS IN
46227-3705
US

V. Phone/Fax

Practice location:
  • Phone: 317-242-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number3340-8357-5158
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: