Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 0024082806 | VA |
NPI | 1003002064 |
---|---|
Provider Name | Carrie Gunn Turner |
First Address | Forest, VA 24551-2101 |
Second Address | Lynchburg, VA 24503-2030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2007 |
Last Update Date | 23/09/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
56562N | (02) | VA |