Individual
SUSAN ANN QUAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
150 GOLDEN OAK DR, STATESVILLE, NC 28625-8015
(712) 260-8548
Mailing address
150 GOLDEN OAK DR, STATESVILLE, NC 28625-8015
(712) 260-8548
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
087592
IA
163W00000X
Registered Nurse
283952
NC
Other
Enumeration date
02/28/2020
Last updated
02/28/2020
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