Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | NP02197 | OH |
NPI | 1073730073 |
---|---|
Provider Name | Dr. Colleen M Quinlan |
First Address | Toledo, OH 43604-5838 |
Second Address | Toledo, OH 43604-5838 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2007 |
Last Update Date | 16/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2016722 | (05) | OH |
P18704 | (02) | OH |