Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | ARNP 9278563 | FL |
NPI | 1043622467 |
---|---|
Provider Name | Rachel Quintana |
First Address | Alachua, FL 32615-6660 |
Second Address | Alachua, FL 32615 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2014 |
Last Update Date | 12/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
014839100 | (05) | FL |