Doctor Name: | ANNETTE QUINN |
NPI Number: | 1013172766 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 88757030 |
Business Practice Address: | 725 American Ave Prohealth Care Women's Center Waukesha, WI - 531885031 |
Business Phone Number: | 2629283500 |
Business Fax Number: | |
Mailing Address: | W345 S3531 Moraine Hillls Drive, DOUSMAN |
State: | WI |
Postal Code: | 53118 |
Phone Number: | 2629283500 |
Fax Number: | |
NPI Enumeration Date: | 07/22/2008 |
NPI Last Update Date: | 01/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | 88757030 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |