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Mrs. Margie Maureen Leturno, MSN, APRN, FNP

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Professional interests include: depression, asthma, heart problems, and more.

7006 W Gulf To Lake Highway
Crystal River, FL 34429

(352) 794-3872

Office Locations

Address:

7006 W Gulf To Lake Highway
Crystal River, FL 34429

Some issues Mrs. Margie Maureen Leturno, MSN, APRN, FNP can help you with:

Asthma

Asthma is a chronic lung disease where the tissue and airways of the lungs become extremely sensitive to certain substances. When these substances are breathed in, the lungs become inflamed. The muscles around the airways tighten and squeeze the lungs, and passages within the lungs swell and tighten. The airways themselves produce mucus, which further clogs the tightened, swollen airways. A person having an asthma attack finds it very difficult to breathe, and a severe attack can even be fatal.

Asthma affects people of all ages, but people with asthma are most often diagnosed as children. Symptoms can include wheezing, a tight feeling in the chest, shortness of breath, and coughing. Some people have mild symptoms all the time, and some people have no symptoms at all, but everyone with asthma is susceptible to occasional severe attacks or flare-ups of symptoms when they are exposed to triggers. Triggers vary widely but can include:

Allergens (dust mites, pet fur, mold, pollen, grass)
Irritants (smoke, pollution, dust, chemicals)
Viral infections
Physical activity, especially outdoors
Certain medications or chemicals in foods (aspirin, sulfites)

Treatment for most asthma patients involves three steps. Patients learn what their asthma triggers are and avoid them. They take a daily control medication, usually an inhaled corticosteroid, to reduce inflammation in the lungs. Also, they have rescue medication with them at all times to take in case of a severe attack. These quick-acting inhaled medications relax the muscles around the airways and allow the lungs to open up for air.

There is no cure for asthma, but with treatment it should not interfere with daily life and activities.

Depression

Everyone knows what it feels like to get the blues once in a while. But depression is a serious illness that is more severe than a bad day and lasts much longer. Symptoms of depression stop a person from being able to function and enjoy daily activities for weeks or months at a time. It can happen to anyone, and it isn't something that people can control by force of will or "snap out of it."

Some common symptoms of depression include:

Feeling sad, guilty, empty or hopeless
Fatigue and a lack of energy and motivation
A loss of pleasure in activities that were previously enjoyed
Unusual sleep or eating habits
Mental fog -- trouble concentrating, remembering, or making decisions
Physical aches and pains
Suicidal thoughts or a preoccupation with death

We don't yet know what causes depression, but it's thought that it is a combination of genetic, biological, environmental, and social influences. Because of this, the most effective treatments for depression combine medication with psychotherapy. Therapy, especially cognitive-behavioral therapy, can be extremely helpful in resolving the negative thoughts and feelings that come with depression. It gives patients new tools that they can use themselves to cope when their depression is making them feel down.

Some of the common medications used to treat depression include antidepressants such as SSRI's (Prozac, Paxil, Zoloft) or atypical antidepressants (Cymbalta, Wellbutrin). It's important to remember that these medications have different effects on everybody, and no one medication works right for everyone. Patients may have to try a couple before finding the one that works just right for them. If the first medication they try doesn't work, they should talk to their doctor about trying something else. In extreme cases where medication is not enough, electro-convulsive therapy and hospitalization may be the answer to keeping a severely depressed person safe.

Depression is a difficult illness to deal with, but it is more common than believed and there are many people who can help. With the right treatment, individuals with depression can get back to fully enjoying life again.

Heart Problems

The heart is one of the most important organs in the body. This smooth muscle expands and contracts rhythmically an entire lifetime, pumping blood to the lungs and then to every other cell in the body. When heart problems occur, it becomes difficult for the body to get the nutrients and oxygen it needs via the blood. So while there are a variety of illnesses and disorders that affect the heart, most of them cause weakness, exhaustion and shortness of breath. The most common heart conditions include heart disease, angina, arrhythmia, and valve disorders.

Heart disease is the leading cause of death in the United States for both men and women. This includes coronary artery disease, heart attacks, congestive heart failure, and congenital heart disease. Some conditions, such as genetics, cannot be controlled. But there are many other things one can do to lower their risk for heart disease. Controlling high blood pressure and cholesterol levels, reducing or stopping smoking, exercising more and losing weight if needed, and eating a diet low in sodium can all protect the heart.

Angina is a squeezing type of chest pain that happens when the muscles around the heart don't get enough oxygen. It can be regular or infrequent. Usually, angina is caused by coronary heart disease. However, not all chest pain is angina. Chest pain can also be caused by a lung infection or panic attack, for example, so it is important to have any sudden pain checked.

Arrhythmia is the word for when the heart beats too fast, too slow, or irregularly with skipped beats. It can feel frightening, and depending on the type it can be dangerous, but in most cases arrhythmia is not serious and can be treated. It is very common, especially in older adults.

Heart valve problems can happen in any one of the the heart's four valves that keep blood flowing where it needs to go. Babies can be born with problems in their heart valves, or valves can be damaged by infections. The valves can stiffen and become less mobile, or they can stop closing properly and 'leak' when the heart beats. Valve problems can usually be repaired surgically.

doctor visit	193
lab tests	17

**Gender**
Male	85
Female	107

**Age**
From 65 to 74	96
From 75 to 84	66
85 and over	19
Less than 65	11

Hypertension	72
High Cholesterol	70
Stroke	0
Ischemic Heart Disease	38
Depression	14
Chronic Kidney Disease	23
Asthma	6
Osteoperosis	6
Atrial Fibrilation	11
Heart Failure	11
Chronic Obstructive Pulmonary Disease	17
Diabetes	23
Dementia	8
Cancer	9

doctor visit	449
preventive care	11
vaccines	12

**Gender**
Male	288
Female	522

**Ethnicity**
Non-Hispanic White	774
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	374
From 75 to 84	270
85 and over	92
Less than 65	74

Hypertension	67
High Cholesterol	73
Stroke	5
Ischemic Heart Disease	32
Depression	20
Chronic Kidney Disease	20
Asthma	11
Osteoperosis	8
Atrial Fibrilation	9
Heart Failure	13
Chronic Obstructive Pulmonary Disease	16
Diabetes	30
Dementia	7
Cancer	8

**Gender**
Male	140
Female	353

**Ethnicity**
Non-Hispanic White	469
Black	0
Hispanic	11
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	214
From 75 to 84	162
85 and over	57
Less than 65	60

Hypertension	70
High Cholesterol	75
Stroke	5
Ischemic Heart Disease	29
Depression	20
Chronic Kidney Disease	20
Asthma	13
Osteoperosis	6
Atrial Fibrilation	9
Heart Failure	12
Chronic Obstructive Pulmonary Disease	13
Diabetes	26
Dementia	6
Cancer	8

doctor visit	200
lab tests	10

**Gender**
Male	56
Female	148

**Ethnicity**
Non-Hispanic White	193
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	93
From 75 to 84	68
85 and over	23
Less than 65	20

Hypertension	75
High Cholesterol	75
Stroke	6
Ischemic Heart Disease	33
Depression	24
Chronic Kidney Disease	31
Asthma	0
Osteoperosis	10
Atrial Fibrilation	10
Heart Failure	13
Chronic Obstructive Pulmonary Disease	23
Diabetes	28
Dementia	0
Cancer	9

**Ethnicity**
Non-Hispanic White	12
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Ethnicity**
Non-Hispanic White	13
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

Hypertension	0
High Cholesterol	75
Stroke	0
Ischemic Heart Disease	0
Depression	0
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	0

doctor visit	648
lab tests	44

**Gender**
Male	78
Female	172

**Age**
From 65 to 74	121
From 75 to 84	80
85 and over	32
Less than 65	17

Hypertension	71
High Cholesterol	75
Stroke	0
Ischemic Heart Disease	36
Depression	25
Chronic Kidney Disease	46
Asthma	8
Osteoperosis	9
Atrial Fibrilation	8
Heart Failure	16
Chronic Obstructive Pulmonary Disease	15
Diabetes	24
Dementia	8
Cancer	12

doctor visit	1379
ear procedures	19
lab tests	62

Average Medicare Procedure Volume From 2014 - 2021

Volume of procedures performed by Mrs. Margie Maureen Leturno, MSN, APRN, FNP for Medicare patients.

The highest averages for the top procedures that Mrs. Margie Maureen Leturno, MSN, APRN, FNP treated as in Crystal River, FL were preventive care, vaccines, lab tests and ear procedures.

cytology	12
doctor visit	694
ear procedures	18
gynecologic pathology	12
lab tests	37
preventive care	46
vaccines	40

Average Medicare Patient Data From 2014 - 2021

Information about Medicare patients treated by Mrs. Margie Maureen Leturno, MSN, APRN, FNP.

**Gender**
Female	130
Male	64

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	146
Native American / Alaskan Native	0
Hispanic	1
Other	0

**Age**
85 and over	22
75 to 84	64
Less than 65	18
65 to 74	89

Average of Total of Conditions of Medicare patients treated by Mrs. Margie Maureen Leturno, MSN, APRN, FNP From 2014 - 2021

The highest averages of the most common conditions of Medicare patients that Mrs. Margie Maureen Leturno, MSN, APRN, FNP treated were high cholesterol, hypertension, ischemic heart disease and chronic kidney disease.

Hypertension	35
High Cholesterol	44
Stroke	1
Ischemic Heart Disease	16
Depression	10
Chronic Kidney Disease	14
Asthma	3
Osteoporosis	3
Heart Failure	6
Chronic Obstructive Pulmonary Disease	8
Diabetes	13
Atrial Fibrillation	4
Cancer	4
Dementia	2

Education & Training

She has a state license in Florida.

Licensed In: Florida

Affiliations & Hospitals

Mrs. Margie Maureen Leturno, MSN, APRN, FNP is associated with these hospitals and organizations:

Tampa General Hospital North

CRYSTAL RIVER HMA PHYSICIAN MANAGEMENT LLC

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General Payments

These charts describe general payments received by Mrs. Margie Maureen Leturno, MSN, APRN, FNP. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Novo Nordisk Inc	$189 RYBELSUS $103	Ozempic $67	Wegovy $19
AbbVie Inc.	$40 VRAYLAR $40
Pfizer Inc.	$38 NURTEC ODT $21	ZAVZPRET $16
Bayer HealthCare Pharmaceuticals Inc.	$37 Kerendia $37
Exact Sciences Corporation	$33 Cologuard Collection Kit $33
Other	$176 FLUENT FLUID MANAGEMENT SYSTEM $29	REXULTI $23	MYFEMBREE $23	NEXPLANON $21	TRELEGY ELLIPTA $19	Other $60

**Types of Payments**
Food and Beverage	$511

Biography

Ms. Margie Leturno is a family medicine specialist in Crystal River, FL. She is affiliated with Tampa General Hospital North.

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Mrs. Margie Maureen Leturno, MSN, APRN, FNP

Office Locations

Some issues Mrs. Margie Maureen Leturno, MSN, APRN, FNP can help you with:

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Mrs. Margie Maureen Leturno, MSN, APRN, FNP in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Mrs. Margie Maureen Leturno, MSN, APRN, FNP in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Mrs. Margie Maureen Leturno, MSN, APRN, FNP in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Mrs. Margie Maureen Leturno, MSN, APRN, FNP in 2017

Medicare Procedure and Patient Information

2018 Medicare Patient Data

Medicare Procedure and Patient Information

2019 Medicare Patient Data

Conditions of Medicare patients treated by Mrs. Margie Maureen Leturno, MSN, APRN, FNP in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Mrs. Margie Maureen Leturno, MSN, APRN, FNP in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

Average Medicare Procedure Volume From 2014 - 2021

Average Medicare Patient Data From 2014 - 2021

Average of Total of Conditions of Medicare patients treated by Mrs. Margie Maureen Leturno, MSN, APRN, FNP From 2014 - 2021

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Biography

Other Providers in Crystal River, FL