Basic Information
Provider Information
NPI: 1417591017
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TURNBULL
FirstName: HANNAH
MiddleName: MARIE
NamePrefix:  
NameSuffix:  
Credential: CNM, WHNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2238 BRISBANE WOODS WAY
Address2:  
City: CARY
State: NC
PostalCode: 275189257
CountryCode: US
TelephoneNumber: 2534950449
FaxNumber:  
Practice Location
Address1: 209 MARTIN LUTHER KING JR WAY
Address2:  
City: TACOMA
State: WA
PostalCode: 984054265
CountryCode: US
TelephoneNumber: 2535963300
FaxNumber: 2535963569
Other Information
ProviderEnumerationDate: 11/06/2019
LastUpdateDate: 10/31/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/31/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000X744NCN Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 
367A00000XAP61274089WAY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


Home