Individual
JONATHAN LAWRENCE QUILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2200 WHITNEY AVE STE 290, HAMDEN, CT 06518-3695
(203) 903-8308
(203) 599-3927
Mailing address
30 MYANO LN STE 16, STAMFORD, CT 06902-4532
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
10631
CT
363LA2200X
Adult Health Nurse Practitioner
12.010631
CT
Other
Enumeration date
07/28/2022
Last updated
03/18/2026
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