MEDICARE: MRS. MARY LILLIAN TURNER FNP-BC

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	R160396	MD

General Provider Information

NPI Number	:	1568975654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARY LILLIAN TURNER FNP-BC

Provider Business Mailing Address
First Line	:	280 E MAIN ST STE 200
Second Line	:
City	:	WESTMINSTER
State	:	MD
Zip	:	21157-5530
Country	:	US
Telephone Number	:	443-244-7044
Fax Number	:	443-291-7446

Provider Business Practice Location Address
First Line	:	280 E MAIN ST STE 200
Second Line	:
City	:	WESTMINSTER
State	:	MD
Zip	:	21157-5530
Country	:	US
Telephone Number	:	443-244-7044
Fax Number	:	443-291-7446

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

Provider Enumeration Date	:	11/10/2017
Last Update Date	:	01/20/2026

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