Individual
KIRSTEN QUILLINAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4989 N 3RD ST, LARAMIE, WY 82072-9548
(307) 745-8997
Mailing address
4989 N 3RD ST, LARAMIE, WY 82072-9548
(307) 745-8997
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN - 21102
WY
172V00000X
Community Health Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN - 21102
STATE
WY
Enumeration date
01/29/2013
Last updated
01/29/2013
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