Individual
MRS. QWINTORIA Q. UPSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5515 W 38TH ST, INDIANAPOLIS, IN 46254-2919
(317) 880-3838
(317) 880-0448
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28160353A
IN
363L00000X
Nurse Practitioner
Primary
71009549A
IN
363LG0600X
Gerontology Nurse Practitioner
71009549A
IN
Other
Enumeration date
10/16/2019
Last updated
10/02/2025
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