# STEPHEN MICHAEL QUILLEN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205184520
- **Gender:** Man
- **Credential:** PHARMD, PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 03132330 | OH | Yes |
| 363A00000X | Physician Assistant | 003674 | OH | — |

## Other

- **Enumeration date:** 08/16/2012
- **Last updated:** 11/07/2015