1568879005 NPI number — BLAIR TURNER ARNP

Table of content: BLAIR TURNER ARNP (NPI 1568879005)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568879005 NPI number — BLAIR TURNER ARNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TURNER
Provider First Name:
BLAIR
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
ARNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568879005
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/30/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
812 VERMONT ST
Provider Second Line Business Mailing Address:
UNIT A
Provider Business Mailing Address City Name:
OAKLAND
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94610-2119
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-360-8960
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
730 POLK STREET, 4TH FLOOR
Provider Second Line Business Practice Location Address:
ASIAN AND PACIFIC ISLANDER WELLNESS CENTER, INC.
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94109-7813
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-292-3400
Provider Business Practice Location Address Fax Number:
415-292-3418
Provider Enumeration Date:
07/16/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  TURN-KX7N4R , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 95003229 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)