Individual
EILEEN M QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
254 SECOND AVE, ATRIUS HEALTH, INC. - ECF AND IHB PROGRAMS, NEEDHAM, MA 02494
(617) 421-2686
(617) 983-4446
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8374
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
107439
MA
363LA2200X
Adult Health Nurse Practitioner
107439
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0389391
—
MA
01
—
C423
HARVARD PILGRIM
MA
01
—
NP2337
BLUE CROSS
MA
Enumeration date
03/31/2006
Last updated
12/31/2015
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