Healthcare Provider Details

I. General information

NPI: 1669147815
Provider Name (Legal Business Name): ELENA TUROVSKAYA APRN CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELENA TUROVSKAYA

II. Dates (important events)

Enumeration Date: 08/10/2021
Last Update Date: 08/10/2021
Certification Date: 08/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 WEXFORD DR
HURON OH
44839-3000
US

IV. Provider business mailing address

512 WEXFORD DR
HURON OH
44839-3000
US

V. Phone/Fax

Practice location:
  • Phone: 419-706-1607
  • Fax:
Mailing address:
  • Phone: 419-706-1607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0029488
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: