Provider Demographics
NPI:1255198289
Name:TURNER, CHERYL ANN (RDN)
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:ANN
Last Name:TURNER
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 POWELL BLVD APT 142085
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32114-8141
Mailing Address - Country:US
Mailing Address - Phone:845-905-6823
Mailing Address - Fax:
Practice Address - Street 1:115 POWELL BLVD APT 142085
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-8141
Practice Address - Country:US
Practice Address - Phone:845-905-6823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND11869133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered