Healthcare Provider Details

I. General information

NPI: 1871182220
Provider Name (Legal Business Name): ANGELA ELIZABETH TURNER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2021
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 RAIDERS WAY
HENDERSON NV
89052-4670
US

IV. Provider business mailing address

3022 S DURANGO DR STE 100
LAS VEGAS NV
89117-4440
US

V. Phone/Fax

Practice location:
  • Phone: 702-235-2000
  • Fax:
Mailing address:
  • Phone: 702-256-3637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number835010
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number835010
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number835010
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: