Healthcare Provider Details

I. General information

NPI: 1336841022
Provider Name (Legal Business Name): LATOYA TURNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 03/20/2023
Certification Date: 03/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3005 OLD MILL RD
CHESAPEAKE VA
23323-1809
US

IV. Provider business mailing address

1015 7TH ST APT D
PORTSMOUTH VA
23704-6740
US

V. Phone/Fax

Practice location:
  • Phone: 757-485-8995
  • Fax: 757-487-4358
Mailing address:
  • Phone: 757-738-6130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number0230008488
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: