Doctor Name: | CECILLE M QUINN |
NPI Number: | 1003123837 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 0024168798 |
Business Practice Address: | 1024 First Colonial Rd Ste 102 Virginia Beach, VA - 234543074 |
Business Phone Number: | 7573952500 |
Business Fax Number: | 7574967956 |
Mailing Address: | 1024 First Colonial Rd, Ste 102 VIRGINIA BEACH |
State: | VA |
Postal Code: | 234543074 |
Phone Number: | 7573952500 |
Fax Number: | 7574967956 |
NPI Enumeration Date: | 08/31/2010 |
NPI Last Update Date: | 01/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024168798 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |