Healthcare Provider Details

I. General information

NPI: 1245948157
Provider Name (Legal Business Name): SABRINA TURNER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2022
Last Update Date: 11/09/2022
Certification Date: 11/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29804 LAKE SHORE BLVD
WILLOWICK OH
44095-4611
US

IV. Provider business mailing address

33334 VINE ST APT 204-I
WILLOWICK OH
44095-3422
US

V. Phone/Fax

Practice location:
  • Phone: 440-585-3322
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number408064
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: