Healthcare Provider Details

I. General information

NPI: 1518054782
Provider Name (Legal Business Name): LORRI N TURNER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 MAIN
MARBLETON WY
83113-0000
US

IV. Provider business mailing address

PO BOX 1074
BIG PINEY WY
83113-1074
US

V. Phone/Fax

Practice location:
  • Phone: 307-276-4706
  • Fax: 307-276-4707
Mailing address:
  • Phone: 307-276-3952
  • Fax: 307-276-4707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number14649.123
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: