Provider Demographics
NPI:1356688444
Name:QUINTANA, ROSARIO LIM
Entity Type:Individual
Prefix:MRS
First Name:ROSARIO
Middle Name:LIM
Last Name:QUINTANA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ROSARIO
Other - Middle Name:
Other - Last Name:LIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:6611 BRECKENRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-1296
Mailing Address - Country:US
Mailing Address - Phone:775-848-8265
Mailing Address - Fax:
Practice Address - Street 1:6144 MAE ANNE AVE STE 1
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-4701
Practice Address - Country:US
Practice Address - Phone:775-747-1100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-09
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV70096163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse