Provider Demographics
NPI:1548480932
Name:TURNER, STAPHIE DELENE (PRIVATE SCRUB)
Entity type:Individual
Prefix:MRS
First Name:STAPHIE
Middle Name:DELENE
Last Name:TURNER
Suffix:
Gender:F
Credentials:PRIVATE SCRUB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7185 W MOHAWK LN
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-9681
Mailing Address - Country:US
Mailing Address - Phone:623-376-8636
Mailing Address - Fax:623-412-2188
Practice Address - Street 1:18555 N 79TH AVE
Practice Address - Street 2:A-103
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-8370
Practice Address - Country:US
Practice Address - Phone:623-412-0310
Practice Address - Fax:623-412-2188
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist