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Individual

ANDREA NICOLE QUICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
2222 PHILADELPHIA DR, DAYTON, OH 45406-1813
(937) 734-3516
Mailing address
3170 KETTERING BLVD, BUILDING B, 3RD FLOOR, MORAINE, OH 45439-1924
(937) 991-3188
(937) 223-9811

Taxonomy

Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
16144-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0136162
OH
Enumeration date
05/15/2014
Last updated
07/21/2022
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