Provider Demographics
NPI:1154309433
Name:QUIRKE, AMY SUZANNE (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:SUZANNE
Last Name:QUIRKE
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:MRS
Other - First Name:AMY
Other - Middle Name:SUZANNE
Other - Last Name:MILLER-QUIRKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPNP
Mailing Address - Street 1:19238 STONEHUE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258
Mailing Address - Country:US
Mailing Address - Phone:210-494-2223
Mailing Address - Fax:210-494-2631
Practice Address - Street 1:19238 STONEHUE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258
Practice Address - Country:US
Practice Address - Phone:210-494-2223
Practice Address - Fax:210-494-2631
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP127854363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHNP -08254OtherPNP CERTIFICATION