Provider Demographics
NPI:1447515242
Name:TURKNETT, SHANDI ELIZABETH
Entity type:Individual
Prefix:
First Name:SHANDI
Middle Name:ELIZABETH
Last Name:TURKNETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHANDI
Other - Middle Name:ELIZABETH
Other - Last Name:SITZER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:701 TEMPLETON AVE
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94014-1260
Mailing Address - Country:US
Mailing Address - Phone:479-426-2003
Mailing Address - Fax:
Practice Address - Street 1:701 TEMPLETON AVE
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94014-1260
Practice Address - Country:US
Practice Address - Phone:479-426-2003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-08
Last Update Date:2012-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula