Healthcare Provider Details

I. General information

NPI: 1043855265
Provider Name (Legal Business Name): LAUREN W TURNER CCNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAUREN P WALKER CCNS

II. Dates (important events)

Enumeration Date: 11/12/2019
Last Update Date: 11/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8266 ATLEE RD
MECHANICSVILLE VA
23116-1804
US

IV. Provider business mailing address

904 HAMPSTEAD AVE
RICHMOND VA
23226-2513
US

V. Phone/Fax

Practice location:
  • Phone: 804-764-7885
  • Fax:
Mailing address:
  • Phone: 804-357-2497
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number0015000973
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: