MEDICARE: SHARDEA TURNEY

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	4704320262	MI

General Provider Information

NPI Number	:	1841882479
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARDEA TURNEY

Provider Business Mailing Address
First Line	:	1431 AIRPORT RD
Second Line	:
City	:	WATERFORD
State	:	MI
Zip	:	48327-1809
Country	:	US
Telephone Number	:	248-479-6150
Fax Number	:	248-710-2200

Provider Business Practice Location Address
First Line	:	731 IRONWOOD DR APT 229
Second Line	:
City	:	ROCHESTER
State	:	MI
Zip	:	48307-1321
Country	:	US
Telephone Number	:	414-234-1474
Fax Number	:

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

Provider Enumeration Date	:	02/04/2021
Last Update Date	:	01/19/2023

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Directions to “ SHARDEA TURNEY ” Practice Location

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