MEDICARE: MS. MARIANNE LOUISE TURNER RN

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	163WC1500X	Community Health Registered Nurse	RN-216049-L	PA

General Provider Information

NPI Number	:	1821678699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARIANNE LOUISE TURNER RN

Provider Business Mailing Address
First Line	:	125 SOUTH AVE
Second Line	:
City	:	NEW BRIGHTON
State	:	PA
Zip	:	15066-3431
Country	:	US
Telephone Number	:	724-843-4246
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 SOUTH AVE
Second Line	:
City	:	NEW BRIGHTON
State	:	PA
Zip	:	15066-3431
Country	:	US
Telephone Number	:	724-843-4246
Fax Number	:

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

Provider Enumeration Date	:	04/14/2021
Last Update Date	:	04/14/2021

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