Individual
TARA S QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1205 COUNTY ROAD 1466, CULLMAN, AL 35058-0795
(256) 739-9711
(256) 739-9737
Mailing address
1205 COUNTY ROAD 1466, CULLMAN, AL 35058-0795
(256) 739-9711
(256) 739-9737
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
1-099427
AL
363LF0000X
Family Nurse Practitioner
Primary
1-099427
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051559733
—
AL
01
—
1-099427
RN LIC #
AL
01
—
51006499
BLUE CROSS BLUE SHIELD
AL
Enumeration date
10/03/2006
Last updated
05/14/2008
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