Quintana, Luis

Quintana, Luis is an individual health care provider with primary practice located at 6309 E Baywood Ave , Mesa AZ 85206-1744. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Neuroscience. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Quintana, Luis can be contacted via phone (480) 325-3801.

Contact Information

Primary practice address
6309 E Baywood Ave Mesa AZ 85206-1744
Phone: (480) 325-3801
Fax: (480) 325-3805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN109891 AP1969 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Neuroscience 364SN0800X RN109891 AP1969 Arizona

Profile Details

NPI number 1952308264
LBN Legal business name Quintana, Luis
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jan 29th, 2008 - about 17 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 1952308264 NPPES
Arizona MEDICAID 958407

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