MEDICARE: MICHAELA ANN TURNER PA-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	363AM0700X	Medical Physician Assistant
2	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1689934747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAELA ANN TURNER PA-C

Provider Business Mailing Address
First Line	:	4 W VINE ST
Second Line	:
City	:	DALE
State	:	IN
Zip	:	47523-9061
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 W VINE ST
Second Line	:
City	:	DALE
State	:	IN
Zip	:	47523-9061
Country	:	US
Telephone Number	:	812-937-7140
Fax Number	:	812-937-7145

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

Provider Enumeration Date	:	05/23/2012
Last Update Date	:	06/20/2022

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Directions to “ MICHAELA ANN TURNER PA-C” Practice Location

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