Provider Demographics
NPI:1386222966
Name:QUARRANTTEY, PERPETUAL
Entity Type:Individual
Prefix:
First Name:PERPETUAL
Middle Name:
Last Name:QUARRANTTEY
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 1:61 ALLEN ST
Mailing Address - Street 2:
Mailing Address - City:NETCONG
Mailing Address - State:NJ
Mailing Address - Zip Code:07857-1203
Mailing Address - Country:US
Mailing Address - Phone:973-866-9691
Mailing Address - Fax:
Practice Address - Street 1:61 ALLEN ST
Practice Address - Street 2:
Practice Address - City:NETCONG
Practice Address - State:NJ
Practice Address - Zip Code:07857-1203
Practice Address - Country:US
Practice Address - Phone:973-866-9691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY78311801163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse