MEDICARE: MCKENZY F. TURLEY NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	4704246274	MI

General Provider Information

NPI Number	:	1154647782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MCKENZY F. TURLEY NP

Provider Business Mailing Address
First Line	:	2120 GRAND RIVER ANX STE 700
Second Line	:
City	:	BRIGHTON
State	:	MI
Zip	:	48114-7391
Country	:	US
Telephone Number	:	810-206-1773
Fax Number	:	810-206-3120

Provider Business Practice Location Address
First Line	:	2120 GRAND RIVER ANX STE 700
Second Line	:
City	:	BRIGHTON
State	:	MI
Zip	:	48114-7391
Country	:	US
Telephone Number	:	810-206-1773
Fax Number	:	810-206-3120

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2010
Last Update Date	:	03/04/2026

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