Healthcare Provider Details

I. General information

NPI: 1114390911
Provider Name (Legal Business Name): YVETTE TURNER STNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2015
Last Update Date: 11/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5001 SOUTH AVE LOT 189
TOLEDO OH
43615-6453
US

IV. Provider business mailing address

5001 SOUTH AVE LOT 189
TOLEDO OH
43615-6453
US

V. Phone/Fax

Practice location:
  • Phone: 567-200-1071
  • Fax:
Mailing address:
  • Phone: 567-200-1071
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: