Provider Demographics
NPI:1912121591
Name:TURBA, ANNE M (APNP)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:M
Last Name:TURBA
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2409 S ALVERNO RD
Mailing Address - Street 2:
Mailing Address - City:MANITOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:54220-9340
Mailing Address - Country:US
Mailing Address - Phone:920-652-7609
Mailing Address - Fax:920-682-4243
Practice Address - Street 1:2409 S ALVERNO RD
Practice Address - Street 2:
Practice Address - City:MANITOWOC
Practice Address - State:WI
Practice Address - Zip Code:54220-9340
Practice Address - Country:US
Practice Address - Phone:920-652-7609
Practice Address - Fax:920-682-4243
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2513-033363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI2513-033OtherADVANCEDNURSE PRESCRIBER
WIOTH000Medicare UPIN