Quinn, Tara S

Quinn, Tara S is an individual health care provider with primary practice located at 1205 County Road 1466 , Cullman AL 35058-0795. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Quinn, Tara S can be contacted via phone (256) 739-9711.

Contact Information

Primary practice address
1205 County Road 1466 Cullman AL 35058-0795
Phone: (256) 739-9711
Fax: (256) 739-9737
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X 1-099427 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-099427 Alabama

Profile Details

NPI number 1083708754
LBN Legal business name Quinn, Tara S
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated May 14th, 2008 - about 16 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 1083708754 NPPES
Alabama Other 1-099427 RN LIC #
Alabama Other 51006499 RN LIC #
Alabama MEDICAID 051559733 RN LIC #

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