Provider Demographics
NPI:1174562383
Name:TURNER, MARY F (MSN, C-FNP)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:F
Last Name:TURNER
Suffix:
Gender:F
Credentials:MSN, C-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 W CORK ST
Mailing Address - Street 2:SUITE 720
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-3870
Mailing Address - Country:US
Mailing Address - Phone:540-536-5121
Mailing Address - Fax:540-536-5129
Practice Address - Street 1:333 W CORK ST
Practice Address - Street 2:SUITE 720
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-3870
Practice Address - Country:US
Practice Address - Phone:540-536-5121
Practice Address - Fax:540-536-5129
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024164677363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1174562383Medicaid
P78716Medicare UPIN
VAVAA103219Medicare PIN