Healthcare Provider Details

I. General information

NPI: 1639998594
Provider Name (Legal Business Name): HALLIE TURNER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2024
Last Update Date: 10/08/2024
Certification Date: 10/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3733 PARK EAST DR
BEACHWOOD OH
44122-4338
US

IV. Provider business mailing address

38524 TERRELL DR
NORTH RIDGEVILLE OH
44039-8770
US

V. Phone/Fax

Practice location:
  • Phone: 800-807-6555
  • Fax:
Mailing address:
  • Phone: 330-240-1580
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0036888
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: