Healthcare Provider Details

I. General information

NPI: 1316404601
Provider Name (Legal Business Name): AMANDA EILEEN TURLEY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2019
Last Update Date: 02/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

975 KIRMAN AVE
RENO NV
89502-0993
US

IV. Provider business mailing address

737 ROBERTS ST
RENO NV
89502-1843
US

V. Phone/Fax

Practice location:
  • Phone: 775-326-2736
  • Fax:
Mailing address:
  • Phone: 775-722-7387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number16707
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code1835C0205X
TaxonomyCritical Care Pharmacist
License Number16707
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: