1710271606 NPI number — MRS. HEATHER LEA TURNER RN,BSN,MSN,FNP

Table of content: MRS. HEATHER LEA TURNER RN,BSN,MSN,FNP (NPI 1710271606)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710271606 NPI number — MRS. HEATHER LEA TURNER RN,BSN,MSN,FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TURNER
Provider First Name:
HEATHER
Provider Middle Name:
LEA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RN,BSN,MSN,FNP
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:
1710271606
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/10/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 652
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW CASTLE
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
47362-0652
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
765-599-3400
Provider Business Mailing Address Fax Number:
765-599-3500

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2200 FOREST RIDGE PKWY
Provider Second Line Business Practice Location Address:
SUITE 310
Provider Business Practice Location Address City Name:
NEW CASTLE
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47362-2943
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
765-599-3400
Provider Business Practice Location Address Fax Number:
765-599-3500
Provider Enumeration Date:
06/08/2011

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: 363L00000X , with the licence number:  28140417A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 28140417A . This is a "NURSE PRACTIONER" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".




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