Provider Demographics
NPI:1679857312
Name:TURNER, KATHLEEN (RN, NP)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 WELCH RD STE 20
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1801
Mailing Address - Country:US
Mailing Address - Phone:650-724-6850
Mailing Address - Fax:
Practice Address - Street 1:900 WELCH RD STE 20
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1801
Practice Address - Country:US
Practice Address - Phone:650-724-6850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-29
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA253929363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health