Provider Demographics
NPI:1417695966
Name:QUAINOO, ALBERT NII AMOO
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:NII AMOO
Last Name:QUAINOO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 W 1ST AVE STE 1400
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-3813
Mailing Address - Country:US
Mailing Address - Phone:509-418-5216
Mailing Address - Fax:
Practice Address - Street 1:6601 CYPRESSWOOD DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-7891
Practice Address - Country:US
Practice Address - Phone:346-206-9890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-24
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1075967363LP0808X
WAAP61460818363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health