Individual
SABRINA QUINTANILLA MIKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNS-BC
Contact information
Practice address
6204 BALCONES DR, AUSTIN, TX 78731-4214
(512) 427-9400
(512) 342-7024
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
697360
TX
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
AP115657
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285645201
—
TX
Enumeration date
09/09/2011
Last updated
06/10/2022
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