Provider Demographics
NPI:1518335546
Name:QUINN-FITZPATRICK, KERIANN (FNP)
Entity Type:Individual
Prefix:
First Name:KERIANN
Middle Name:
Last Name:QUINN-FITZPATRICK
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2584 W SANDY MUSH RD
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95341-8713
Mailing Address - Country:US
Mailing Address - Phone:209-385-4766
Mailing Address - Fax:
Practice Address - Street 1:2584 W SANDY MUSH RD
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95341-8713
Practice Address - Country:US
Practice Address - Phone:209-385-4766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-08
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA730293363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily