Provider Demographics
NPI:1548361579
Name:TURNBULL, ROBERT FRANCIS (CRNA)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:FRANCIS
Last Name:TURNBULL
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 CEDAR PL NW
Mailing Address - Street 2:
Mailing Address - City:OWATONNA
Mailing Address - State:MN
Mailing Address - Zip Code:55060-1248
Mailing Address - Country:US
Mailing Address - Phone:507-451-7054
Mailing Address - Fax:
Practice Address - Street 1:903 S OAK AVE
Practice Address - Street 2:
Practice Address - City:OWATONNA
Practice Address - State:MN
Practice Address - Zip Code:55060-3200
Practice Address - Country:US
Practice Address - Phone:507-451-3850
Practice Address - Fax:507-444-6075
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR079368-9367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered