Healthcare Provider Details

I. General information

NPI: 1700545415
Provider Name (Legal Business Name): ASHLEY TURNER MS, RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2021
Last Update Date: 12/09/2021
Certification Date: 12/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 GRANGER RD STE 2
BARRE VT
05641-5352
US

IV. Provider business mailing address

152 FORESTS EDGE
HINESBURG VT
05461-9144
US

V. Phone/Fax

Practice location:
  • Phone: 802-225-5810
  • Fax:
Mailing address:
  • Phone: 802-760-9631
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number074.0134126
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: