Individual
CAROL JOANN QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
2573 STATE HWY 522, QUESTA, NM 87556-0290
(505) 586-0315
(505) 586-0519
Mailing address
PO BOX 295, CERRO, NM 87519-0295
(575) 586-1017
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R17060
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47225
—
NM
Enumeration date
12/01/2006
Last updated
09/02/2009
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