Provider Demographics
NPI:1235545575
Name:RACHEL QUINTANA, ARNP, LLC
Entity Type:Organization
Organization Name:RACHEL QUINTANA, ARNP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ARNP
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINTANA
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:352-339-3267
Mailing Address - Street 1:10110 NW COUNTY ROAD 235
Mailing Address - Street 2:
Mailing Address - City:ALACHUA
Mailing Address - State:FL
Mailing Address - Zip Code:32615-6660
Mailing Address - Country:US
Mailing Address - Phone:352-339-3267
Mailing Address - Fax:386-462-9666
Practice Address - Street 1:10110 NW COUNTY ROAD 235
Practice Address - Street 2:
Practice Address - City:ALACHUA
Practice Address - State:FL
Practice Address - Zip Code:32615-6660
Practice Address - Country:US
Practice Address - Phone:386-462-7346
Practice Address - Fax:386-462-7381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-08
Last Update Date:2019-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9278563363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Single Specialty