Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | APRN.CNP.023068 | OH |
NPI | 1003301524 |
---|---|
Provider Name | Anthony Quinn Turner JR. |
First Address | Columbus, OH 43215-4602 |
Second Address | Columbus, OH 43215-4602 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2018 |
Last Update Date | 06/03/2019 |