Healthcare Provider Details

I. General information

NPI: 1093938730
Provider Name (Legal Business Name): AURA-TAINA EERIKA TURCASSO N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1419 N STEELE ST APT. 1
TACOMA WA
98406-8017
US

IV. Provider business mailing address

1419 N STEELE ST APT. 1
TACOMA WA
98406-8017
US

V. Phone/Fax

Practice location:
  • Phone: 206-604-3621
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT1507
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: