Provider Demographics
NPI:1003269697
Name:QUINONES, PERLA (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:PERLA
Middle Name:
Last Name:QUINONES
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1166 E WARNER RD STE 206
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-3066
Mailing Address - Country:US
Mailing Address - Phone:480-331-2201
Mailing Address - Fax:480-800-4944
Practice Address - Street 1:1166 E WARNER RD STE 206
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-3066
Practice Address - Country:US
Practice Address - Phone:480-331-2201
Practice Address - Fax:480-800-4944
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-19
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP9003363LP0808X, 363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily