Provider Demographics
NPI:1871175000
Name:TURNER, BRIDGET L
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:L
Last Name:TURNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 3RD ST SE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44707-2406
Mailing Address - Country:US
Mailing Address - Phone:330-323-2589
Mailing Address - Fax:
Practice Address - Street 1:9835 RIDENOUR RD
Practice Address - Street 2:
Practice Address - City:THORNVILLE
Practice Address - State:OH
Practice Address - Zip Code:43076-8936
Practice Address - Country:US
Practice Address - Phone:330-323-2589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-27
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker