Provider Demographics
NPI:1073684585
Name:QUINLAN, PATRICIA A (RN, FNP)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:A
Last Name:QUINLAN
Suffix:
Gender:F
Credentials:RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4278 CLUB COURSE DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29420-7506
Mailing Address - Country:US
Mailing Address - Phone:843-670-4220
Mailing Address - Fax:843-887-3929
Practice Address - Street 1:1189 TIBWIN ROAD
Practice Address - Street 2:
Practice Address - City:MCCLELANVILLE
Practice Address - State:SC
Practice Address - Zip Code:29458
Practice Address - Country:US
Practice Address - Phone:843-887-3274
Practice Address - Fax:843-887-3929
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCR 32377363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner