Individual
KATHERINE DAVIS QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1030 SIENA DR # 205, WAKE FOREST, NC 27587-2789
(919) 235-6511
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5015631
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457003592
—
NC
Enumeration date
01/20/2022
Last updated
02/21/2025
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