Provider Demographics
NPI:1902432651
Name:TURRELL, LORI MARIE
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:MARIE
Last Name:TURRELL
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:LORI
Other - Middle Name:MARIE
Other - Last Name:TURRELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN,MSN, FNP-BC
Mailing Address - Street 1:5904 ZACHARY SCOTT ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78747-3997
Mailing Address - Country:US
Mailing Address - Phone:504-421-2917
Mailing Address - Fax:512-823-4166
Practice Address - Street 1:7901 METROPOLIS DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78744-3111
Practice Address - Country:US
Practice Address - Phone:512-823-4397
Practice Address - Fax:512-823-4611
Is Sole Proprietor?:No
Enumeration Date:2020-03-13
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX732713363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily