Healthcare Provider Details

I. General information

NPI: 1447491121
Provider Name (Legal Business Name): MARIA MARGARITA TURNEY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2009
Last Update Date: 04/15/2022
Certification Date: 04/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 N 10TH AVE STE 100
STAYTON OR
97383-1486
US

IV. Provider business mailing address

1401 N 10TH AVE STE 100
STAYTON OR
97383-1486
US

V. Phone/Fax

Practice location:
  • Phone: 503-769-6386
  • Fax: 503-769-5647
Mailing address:
  • Phone: 503-769-6386
  • Fax: 503-769-5647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number201508474NP-PP
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: