Individual
MRS. AGATHA ANNE QUINN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD, APRN, FNP
Contact information
Practice address
UCDHSC-SON C-288-5, 4200 EAST NINTH AVENUE, DENVER, CO 80262-0001
(303) 315-5213
(303) 315-0907
Mailing address
6082 S GLENCOE WAY, CENTENNIAL, CO 80121-3427
(303) 770-1594
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
50757
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07507577
—
CO
Enumeration date
06/30/2005
Last updated
07/08/2007
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