Healthcare Provider Details

I. General information

NPI: 1780901157
Provider Name (Legal Business Name): CARRIE DAWN TURNER LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARRIE DAWN SPARKS

II. Dates (important events)

Enumeration Date: 04/26/2010
Last Update Date: 05/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4913 W RENO AVE
OKLAHOMA CITY OK
73127-6339
US

IV. Provider business mailing address

4913 W RENO AVE
OKLAHOMA CITY OK
73127-6339
US

V. Phone/Fax

Practice location:
  • Phone: 405-948-4900
  • Fax: 405-948-4919
Mailing address:
  • Phone: 405-948-4900
  • Fax: 405-948-4919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberL0052405
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: