MEDICARE: MS. SELENA RENEE TURNER LPN

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	164W00000X	Licensed Practical Nurse	173706	OH

General Provider Information

NPI Number	:	1275475923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SELENA RENEE TURNER LPN

Provider Business Mailing Address
First Line	:	4108 BUSH AVE UNIT UP
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109-5902
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3676 W 47TH PL
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44102-6070
Country	:	US
Telephone Number	:	440-617-9559
Fax Number	:

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

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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