Provider Demographics
NPI:1154565869
Name:TURNER, KATHERINE MARIE (WHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:MARIE
Last Name:TURNER
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:MRS
Other - First Name:KATHERINE
Other - Middle Name:MARIE
Other - Last Name:PITTEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:WHNP-BC
Mailing Address - Street 1:23338 WOODWARD AVENUE
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48220
Mailing Address - Country:US
Mailing Address - Phone:248-399-5900
Mailing Address - Fax:248-399-5959
Practice Address - Street 1:23338 WOODWARD AVENUE
Practice Address - Street 2:
Practice Address - City:FERNDALE
Practice Address - State:MI
Practice Address - Zip Code:48220
Practice Address - Country:US
Practice Address - Phone:248-399-5900
Practice Address - Fax:248-399-5959
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-24
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP009986363LW0102X
MI4704277001363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health