Individual
MISS ANGELA QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 DELAWARE ST, SUITE 200, LONGVIEW, WA 98632-2367
(360) 501-3547
Mailing address
1115 SE 164TH AVE, DEPT. 358, VANCOUVER, WA 98683-9324
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN173417
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP60430892
WA
363LW0102X
Women's Health Nurse Practitioner
AP60430892
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2044883
—
WA
Enumeration date
05/02/2012
Last updated
07/01/2015
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