Healthcare Provider Details

I. General information

NPI: 1003301524
Provider Name (Legal Business Name): ANTHONY QUINN TURNER JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2018
Last Update Date: 03/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

290 E TOWN ST
COLUMBUS OH
43215-4602
US

IV. Provider business mailing address

290 E TOWN ST
COLUMBUS OH
43215-4602
US

V. Phone/Fax

Practice location:
  • Phone: 614-788-5401
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.362164
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.023068
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: