Provider Demographics
NPI:1861275356
Name:TURNER, TAMIA (CNA)
Entity type:Individual
Prefix:
First Name:TAMIA
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6745
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53206-0745
Mailing Address - Country:US
Mailing Address - Phone:414-484-4555
Mailing Address - Fax:
Practice Address - Street 1:2815 N 41ST ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53210-1811
Practice Address - Country:US
Practice Address - Phone:414-484-4555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care