Provider Demographics
NPI:1033481957
Name:QUINN, DESIREE DAWN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:DESIREE
Middle Name:DAWN
Last Name:QUINN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MISS
Other - First Name:DESIREE
Other - Middle Name:DAWN
Other - Last Name:PROCINSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:205 ASBURY ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-8103
Mailing Address - Country:US
Mailing Address - Phone:281-501-0796
Mailing Address - Fax:
Practice Address - Street 1:5000 HOPYARD RD #100
Practice Address - Street 2:TEAM HEALTH
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588
Practice Address - Country:US
Practice Address - Phone:925-924-1600
Practice Address - Fax:925-924-0506
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-08
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX764355363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily