Provider Demographics
NPI:1609175926
Name:TURKDOGAN, CHARMAINE CARPIZ (FNP)
Entity type:Individual
Prefix:MS
First Name:CHARMAINE
Middle Name:CARPIZ
Last Name:TURKDOGAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:CHARMAINE
Other - Middle Name:GONZAGA
Other - Last Name:CARPIZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:PO BOX 100254
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0254
Mailing Address - Country:US
Mailing Address - Phone:352-273-8610
Mailing Address - Fax:352-273-8612
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-3244
Practice Address - Country:US
Practice Address - Phone:352-273-8610
Practice Address - Fax:352-273-8612
Is Sole Proprietor?:No
Enumeration Date:2011-03-25
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010042072163W00000X, 363LF0000X
NY336269363LF0000X
FLAPRN9385518363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL013528700Medicaid
MO1609175926Medicaid
FL013528700Medicaid
MO1609175926Medicaid
MOMA2028018Medicare PIN
MO137740024Medicare PIN