Individual
MS. CRYSTAL SATONA QUINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA,PNHNP-BC,FNP-BC
Contact information
Practice address
5000 W MIDWAY ROAD, UNIT 13317, FORT PIERCE, FL 34981-1900
(877) 825-7846
(877) 881-1049
Mailing address
5000 W MIDWAY RD # 13317, FORT PIERCE, FL 34981-4827
(833) 379-1898
(877) 881-1049
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
APRN9290324
FL
363L00000X
Nurse Practitioner
2018004992
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2021013806
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200002639
APRN
DC
01
—
61183806
APRN
WA
01
—
822600-01
APRN
NY
01
—
APRN9290324
APRN
FL
01
—
GAA-NP00017
APRN
GA
Enumeration date
09/05/2006
Last updated
09/15/2023
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