Provider Demographics
NPI:1992431126
Name:TURPIN, ANDREA ELLEN
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:ELLEN
Last Name:TURPIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 ROSEGATE CT
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-4335
Mailing Address - Country:US
Mailing Address - Phone:614-557-5965
Mailing Address - Fax:
Practice Address - Street 1:110 ROSEGATE CT
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-4335
Practice Address - Country:US
Practice Address - Phone:614-557-5965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-29
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH501047611105376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH25-250Medicaid