Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | NP95011330 | CA |
NPI | 1003377136 |
---|---|
Provider Name | Theresa Turner |
First Address | Bakersfield, CA 93313-4990 |
Second Address | Bakersfield, CA 93301-5711 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2019 |
Last Update Date | 29/03/2019 |