| Doctor Name: | CAROL JOANN QUINTANA |
| NPI Number: | 1043388457 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CFNP |
| License Number: | R17060 |
| Business Practice Address: | 2573 State Hwy 522 Questa, NM - 875560290 |
| Business Phone Number: | 5055860315 |
| Business Fax Number: | 5055860519 |
| Mailing Address: | Po Box 295, CERRO |
| State: | NM |
| Postal Code: | 875190295 |
| Phone Number: | 5755861017 |
| Fax Number: | |
| NPI Enumeration Date: | 12/01/2006 |
| NPI Last Update Date: | 09/02/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R17060 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |