Provider Demographics
NPI:1700036506
Name:QUINN, SHEILA (PA-C)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:QUINN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3950 G.S. RICHARDS BLVD
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:87903-8457
Mailing Address - Country:US
Mailing Address - Phone:775-324-0633
Mailing Address - Fax:775-323-6814
Practice Address - Street 1:640 W MOANA LN STE 2
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-4857
Practice Address - Country:US
Practice Address - Phone:775-324-0633
Practice Address - Fax:775-323-6814
Is Sole Proprietor?:No
Enumeration Date:2008-09-29
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPA1085363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical