MEDICARE: MRS. ANTAISA AMIRE TURNER LPN

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	164W00000X	Licensed Practical Nurse	189485	OH

General Provider Information

NPI Number	:	1770410011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANTAISA AMIRE TURNER LPN

Provider Business Mailing Address
First Line	:	6300 BUSCH BLVD APT 209
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-1827
Country	:	US
Telephone Number	:	614-439-2248
Fax Number	:

Provider Business Practice Location Address
First Line	:	6300 BUSCH BLVD APT 209
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-1827
Country	:	US
Telephone Number	:	614-439-2248
Fax Number	:

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

Provider Enumeration Date	:	05/08/2026
Last Update Date	:	05/08/2026

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