MEDICARE: ROSE TURNER 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	363LF0000X	Family Nurse Practitioner	71000647A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568443810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSE TURNER NP

Provider Business Mailing Address
First Line	:	1251 KEM ROAD
Second Line	:	SUITE E
City	:	MARION
State	:	IN
Zip	:	46952-2555
Country	:	US
Telephone Number	:	765-662-4133
Fax Number	:	765-651-7313

Provider Business Practice Location Address
First Line	:	717 E MAIN
Second Line	:
City	:	GAS CITY
State	:	IN
Zip	:	46933-1645
Country	:	US
Telephone Number	:	765-677-4719
Fax Number	:	765-677-4727

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

Provider Enumeration Date	:	11/11/2005
Last Update Date	:	02/23/2009

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Directions to “ ROSE TURNER NP” Practice Location

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