MEDICARE: ANGELA TURNER

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	3747P1801X	Personal Care Attendant
2	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1740799543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA TURNER

Provider Business Mailing Address
First Line	:	5215 COLLEY AVE STE 127
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23508-2172
Country	:	US
Telephone Number	:	757-779-8299
Fax Number	:

Provider Business Practice Location Address
First Line	:	5215 COLLEY AVE STE 127
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23508-2172
Country	:	US
Telephone Number	:	757-779-8299
Fax Number	:

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

Provider Enumeration Date	:	09/25/2017
Last Update Date	:	07/21/2022

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