| Doctor Name: | TARA S QUINN |
| NPI Number: | 1083708754 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | 1-099427 |
| Business Practice Address: | 1205 County Road 1466 Cullman, AL - 350580795 |
| Business Phone Number: | 2567399711 |
| Business Fax Number: | 2567399737 |
| Mailing Address: | 1205 County Road 1466, CULLMAN |
| State: | AL |
| Postal Code: | 350580795 |
| Phone Number: | 2567399711 |
| Fax Number: | 2567399737 |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 05/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WD0400X |
| License Number: | 1-099427 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Diabetes Educator |
| Taxonomy Definition: | |