Healthcare Provider Details

I. General information

NPI: 1679772115
Provider Name (Legal Business Name): CHRISTINA MARIE TURNER PCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MRS. CHRISTINA MARIE TURNER

II. Dates (important events)

Enumeration Date: 07/14/2007
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 E HORIZON DR STE A
HENDERSON NV
89015-7934
US

IV. Provider business mailing address

1290 W HORIZON RIDGE PKWY APT 2124
HENDERSON NV
89012-5533
US

V. Phone/Fax

Practice location:
  • Phone: 702-644-3600
  • Fax: 702-719-5665
Mailing address:
  • Phone: 702-964-8428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNV
# 4
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: