Healthcare Provider Details

I. General information

NPI: 1205418100
Provider Name (Legal Business Name): TAURUS TURNER LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2021
Last Update Date: 04/21/2021
Certification Date: 04/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 N EUTAW ST
BALTIMORE MD
21201-4648
US

IV. Provider business mailing address

7953 E SHORE RD
PASADENA MD
21122-1353
US

V. Phone/Fax

Practice location:
  • Phone: 410-225-9185
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLP51318
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: