Provider Demographics
NPI:1568903920
Name:QUINTANA, GEISLY (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:GEISLY
Middle Name:
Last Name:QUINTANA
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16424 SW 54TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33185-5107
Mailing Address - Country:US
Mailing Address - Phone:786-474-8960
Mailing Address - Fax:
Practice Address - Street 1:16424 SW 54TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33185-5107
Practice Address - Country:US
Practice Address - Phone:786-474-8960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-17
Last Update Date:2020-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9191020363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily