Individual
ANITA QUIROZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
89 W MARCH LN, SUITE #1, STOCKTON, CA 95207-5721
(209) 478-2622
(209) 870-2754
Mailing address
89 W MARCH LN, SUITE #1, STOCKTON, CA 95207-5721
(209) 478-2622
(209) 870-2754
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN293195
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP4332
FURNISHING NUMBER
CA
01
—
RN293195
RN LICENSE NUMBER
CA
Enumeration date
03/21/2007
Last updated
10/25/2011
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