Provider Demographics
NPI:1487088068
Name:BRIGHT, TUROSIA EVETTE (RETIRED NURSE)
Entity type:Individual
Prefix:
First Name:TUROSIA
Middle Name:EVETTE
Last Name:BRIGHT
Suffix:
Gender:F
Credentials:RETIRED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21301 NE 14TH AVE
Mailing Address - Street 2:
Mailing Address - City:LAWTEY
Mailing Address - State:FL
Mailing Address - Zip Code:32058-4336
Mailing Address - Country:US
Mailing Address - Phone:904-769-2326
Mailing Address - Fax:904-782-1314
Practice Address - Street 1:21301 NE 14TH AVE
Practice Address - Street 2:
Practice Address - City:LAWTEY
Practice Address - State:FL
Practice Address - Zip Code:32058-4336
Practice Address - Country:US
Practice Address - Phone:904-769-2326
Practice Address - Fax:904-782-1314
Is Sole Proprietor?:No
Enumeration Date:2013-08-30
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0873971164W00000X
FLO87397376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No164W00000XNursing Service ProvidersLicensed Practical Nurse