Provider Demographics
NPI:1548481104
Name:TURNER, BYRDIA L
Entity type:Individual
Prefix:
First Name:BYRDIA
Middle Name:L
Last Name:TURNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2947 N. COLORADO AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46218-3116
Mailing Address - Country:US
Mailing Address - Phone:317-357-9301
Mailing Address - Fax:
Practice Address - Street 1:2947 N. COLORADO AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46218-3116
Practice Address - Country:US
Practice Address - Phone:317-357-9301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200853610 AOtherPROVIDER NUMLOC