Healthcare Provider Details

I. General information

NPI: 1275270597
Provider Name (Legal Business Name): DEBORAH S TURNER LPN, S.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2022
Last Update Date: 05/18/2022
Certification Date: 05/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W BRAMBLETON AVE STE 300
NORFOLK VA
23510-1115
US

IV. Provider business mailing address

400 W BRAMBLETON AVE STE 300
NORFOLK VA
23510-1115
US

V. Phone/Fax

Practice location:
  • Phone: 757-274-4000
  • Fax: 757-274-4001
Mailing address:
  • Phone: 757-274-4000
  • Fax: 757-274-4001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number2020291
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number0002020291
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: