Healthcare Provider Details

I. General information

NPI: 1467023101
Provider Name (Legal Business Name): EMILY ANN TURKIELA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/04/2021
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14165 N FENTON RD
FENTON MI
48430-1587
US

IV. Provider business mailing address

27520 SANTA ANA DR
WARREN MI
48093-4410
US

V. Phone/Fax

Practice location:
  • Phone: 810-853-5875
  • Fax:
Mailing address:
  • Phone: 586-381-4573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0600X
TaxonomyGerontology Registered Nurse
License Number4704314159
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4704314159
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: