Provider Demographics
NPI:1962560169
Name:TURNER, JUDITH AARON (ARNP)
Entity type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:AARON
Last Name:TURNER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 642302
Mailing Address - Street 2:
Mailing Address - City:PULLMAN
Mailing Address - State:WA
Mailing Address - Zip Code:99164-2302
Mailing Address - Country:US
Mailing Address - Phone:509-335-3575
Mailing Address - Fax:509-335-8214
Practice Address - Street 1:1125 SE WASHINGTON
Practice Address - Street 2:
Practice Address - City:PULLMAN
Practice Address - State:WA
Practice Address - Zip Code:99164-2302
Practice Address - Country:US
Practice Address - Phone:509-335-3575
Practice Address - Fax:509-335-8214
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30006576363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9642364Medicaid
G49985Medicare UPIN