Individual
MS. ANGELA CATHERINE QUINTANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2202 S CEDAR ST, SUITE 150, TACOMA, WA 98405-2318
(253) 830-5432
(253) 830-5433
Mailing address
2202 S CEDAR ST, STE 100, TACOMA, WA 98405-2318
(253) 284-9231
(253) 284-9241
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
10021605
OR
367500000X
Certified Registered Nurse Anesthetist
AP30005547
WA
367500000X
Certified Registered Nurse Anesthetist
ARNP9340888
FL
367500000X
Certified Registered Nurse Anesthetist
RN198128
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8913836
MDCR PTAN (K)
WA
01
—
G8919205
MDCR PTAN (P)
WA
Enumeration date
12/14/2006
Last updated
12/23/2024
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