Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 206913 | LA |
Y | 363LG0600X | Nurse Practitioner - Gerontology | 206913 | LA |
NPI | 1033775184 |
---|---|
Provider Name | Cynthia Turner |
First Address | Monroe, LA 71201-7363 |
Second Address | Monroe, LA 71201-5702 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2019 |
Last Update Date | 07/08/2019 |