Quinette, Mallory Ann
Quinette, Mallory Ann is an individual health care provider with primary practice located at 6901 Simmons Loop Fl 4 , Riverview FL 33578-9498. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Quinette, Mallory Ann can be contacted via phone (813) 302-8522.Contact Information
Primary practice address
6901 Simmons Loop Fl 4
Riverview FL 33578-9498
Phone: (813) 302-8522
Fax: (813) 605-6167
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APRN11005460 | Florida |
Profile Details
NPI number | 1265076053 |
---|---|
LBN Legal business name | Quinette, Mallory Ann |
Credentials | MSN, APRN, FNP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 5th, 2019 |
Last updated | Mar 21st, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265076053 | NPPES |
Florida | MEDICAID | 106159500 |
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