Provider Demographics
NPI:1639767296
Name:QUINN, MARIA MICHELLE
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:MICHELLE
Last Name:QUINN
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 1:24309 21ST BRIDGE RD SW
Mailing Address - Street 2:
Mailing Address - City:RAWLINGS
Mailing Address - State:MD
Mailing Address - Zip Code:21557-2333
Mailing Address - Country:US
Mailing Address - Phone:301-876-1090
Mailing Address - Fax:
Practice Address - Street 1:24309 21ST BRIDGE RD SW
Practice Address - Street 2:
Practice Address - City:RAWLINGS
Practice Address - State:MD
Practice Address - Zip Code:21557-2333
Practice Address - Country:US
Practice Address - Phone:301-876-1090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-08
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant