Provider Demographics
NPI:1316116049
Name:TURLEY, SUSAN M (MS APRN)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:M
Last Name:TURLEY
Suffix:
Gender:F
Credentials:MS APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:445 EASTERN POINT RD # MS 420010
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:CT
Mailing Address - Zip Code:06340-5157
Mailing Address - Country:US
Mailing Address - Phone:860-441-4157
Mailing Address - Fax:860-441-6028
Practice Address - Street 1:455 EASTERN POINT RD
Practice Address - Street 2:MS 8200-10
Practice Address - City:GROTON
Practice Address - State:CT
Practice Address - Zip Code:06340-5157
Practice Address - Country:US
Practice Address - Phone:860-414-4157
Practice Address - Fax:860-441-6028
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-27
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT002574363LS0200X, 363LX0106X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LS0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerSchool
No363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health