MEDICARE: MRS. SHELLY LYNN TURSKI RN MSN NP-C

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	COA.14772-NP	OH

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	COA14772NP	OTHER	OH	OH CNP LICENSE

General Provider Information

NPI Number	:	1629405089
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHELLY LYNN TURSKI RN MSN NP-C

Provider Business Mailing Address
First Line	:	2972 SHORELAND AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43611-1248
Country	:	US
Telephone Number	:	419-276-6607
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 OWENS CORNING PKWY
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43659-1177
Country	:	US
Telephone Number	:	675-850-0605
Fax Number	:	567-455-5902

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

Provider Enumeration Date	:	10/01/2013
Last Update Date	:	08/20/2025

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