| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MICHAEL ROBERT LATURNER | 1689392425 | 2023-05-06 |
Michael Robert Laturner is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1689392425. Registration indicates Michael Robert Laturner is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Acute Care, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Acute Care, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Michael Robert Laturner AGACNP-BC |
| Practice Office Address | 1798 N GAREY AVE POMONA, CA US |
| Practice Office Telephone | 9098659903 |
| Practice Office Fax | 9094692152 |
| Mailing Address | 6069 SAN FELIPE CT RANCHO CUCAMONGA, CA 917373008 US |
| Business Telephone | 9097672248 |
| Code | Practice | License No State |
|---|---|---|
| 363LA2100X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Acute Care All Other Specialties & Provider Types Nurse Practitioner Acute Care Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 95022932
CA |