Mikan, Sabrina Quintanilla

Mikan, Sabrina Quintanilla is an individual health care provider with primary practice located at 6204 Balcones Dr , Austin TX 78731-4214. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Mikan, Sabrina Quintanilla can be contacted via phone (512) 427-9400.

Contact Information

Primary practice address
6204 Balcones Dr Austin TX 78731-4214
Phone: (512) 427-9400
Fax: (512) 342-7024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 697360 Texas
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X AP115657 Texas

Profile Details

NPI number 1578845152
LBN Legal business name Mikan, Sabrina Quintanilla
Credentials ACNS-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2011
Last updated Jun 10th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578845152 NPPES
Texas MEDICAID 285645201

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