Individual
MARILYN QUINLAN SALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, RN, CDCES
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
Mailing address
PO BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1200
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN083778
AZ
363LF0000X
Family Nurse Practitioner
264884
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922176601
—
AZ
Enumeration date
12/01/2006
Last updated
10/04/2021
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