MEDICARE: KATHRYN A TURK FNP

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	163W00000X	Registered Nurse	RN129872	AZ

General Provider Information

NPI Number	:	1497834972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN A TURK FNP

Provider Business Mailing Address
First Line	:	4026 N TERRA MESA CIR
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85207-1474
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2080 W SOUTHERN AVE
Second Line	:	STE. A1
City	:	APACHE JUNCTION
State	:	AZ
Zip	:	85220-7455
Country	:	US
Telephone Number	:	480-353-2200
Fax Number	:

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

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	07/08/2007

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