Adesola Modupe Turner, | |
2308 Terrace Dr, Highland, IN 46322-2790 | |
(773) 984-2824 | |
Not Available |
Full Name | Adesola Modupe Turner |
---|---|
Gender | Female |
Speciality | Registered Nurse - Psychiatric/mental Health, Adult |
Location | 2308 Terrace Dr, Highland, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619657707 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP0809X | Registered Nurse - Psychiatric/mental Health, Adult | 28186258A (Indiana) | Primary |
Entity Name | Vitae Health Medical Indiana Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396493433 PECOS PAC ID: 1153708086 Enrollment ID: O20220516001732 |
Mailing Address | Practice Location Address |
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Adesola Modupe Turner, 2308 Terrace Dr, Highland, IN 46322-2790 Ph: (773) 984-2824 | Adesola Modupe Turner, 2308 Terrace Dr, Highland, IN 46322-2790 Ph: (773) 984-2824 |
Sherita Wright, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2715 41st Pl, Highland, IN 46322 Phone: 773-557-5811 | |
Angela Boose, APRN-PMHNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2600 Highway Ave, Highland, IN 46322 Phone: 219-972-0131 | |
Kari Klisurich, Registered Nurse Medicare: Medicare Enrolled Practice Location: 3145 45th St Ste M, Highland, IN 46322 Phone: 219-922-9150 Fax: 219-922-9180 |