Individual
SUSAN QUIMBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239
(941) 917-4896
(941) 917-6884
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00499800
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9481550
FL
363LG0600X
Gerontology Nurse Practitioner
26NJ00499800
NJ
Other
Enumeration date
05/27/2014
Last updated
07/02/2018
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