Provider Demographics
NPI:1972476513
Name:TURNELL, CARRIE A (EFDA)
Entity type:Individual
Prefix:MS
First Name:CARRIE
Middle Name:A
Last Name:TURNELL
Suffix:
Gender:F
Credentials:EFDA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11000 16TH AVE SE APT 1014
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-4832
Mailing Address - Country:US
Mailing Address - Phone:425-338-9773
Mailing Address - Fax:
Practice Address - Street 1:16030 BOTHELL EVERETT HWY STE 250
Practice Address - Street 2:
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-1274
Practice Address - Country:US
Practice Address - Phone:425-338-9773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA126800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes126800000XDental ProvidersDental AssistantGroup - Single Specialty