Individual
TANGELA TURNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5422 MULBERRY ST, PHILADELPHIA, PA 19124-1252
(215) 470-7533
Mailing address
5422 MULBERRY ST, PHILADELPHIA, PA 19124-1252
(215) 470-7533
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN645239
PA
163WC1500X
Community Health Registered Nurse
RN645239
PA
163WH0200X
Home Health Registered Nurse
RN645239
PA
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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