Healthcare Provider Details

I. General information

NPI: 1790222396
Provider Name (Legal Business Name): DEBRA DEE TURNER BSN, RN-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/21/2017
Last Update Date: 01/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 FOUR MILE SQUARE RD
ANSON ME
04911-3818
US

IV. Provider business mailing address

118 FOUR MILE SQUARE RD
ANSON ME
04911-3818
US

V. Phone/Fax

Practice location:
  • Phone: 207-696-5314
  • Fax:
Mailing address:
  • Phone: 207-696-5314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN52789
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: