Provider Demographics
NPI:1316408073
Name:QUIRIN, RHANA MAE
Entity Type:Individual
Prefix:MRS
First Name:RHANA
Middle Name:MAE
Last Name:QUIRIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28912 FAWN RIVER RD
Mailing Address - Street 2:
Mailing Address - City:STURGIS
Mailing Address - State:MI
Mailing Address - Zip Code:49091-9572
Mailing Address - Country:US
Mailing Address - Phone:269-625-0231
Mailing Address - Fax:
Practice Address - Street 1:28912 FAWN RIVER RD
Practice Address - Street 2:
Practice Address - City:STURGIS
Practice Address - State:MI
Practice Address - Zip Code:49091-9572
Practice Address - Country:US
Practice Address - Phone:269-625-0231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-26
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4703098966164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse