Provider Demographics
NPI:1710941182
Name:QUINN, SHEILA ANNE (RNC, MSN, NNP)
Entity Type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:ANNE
Last Name:QUINN
Suffix:
Gender:F
Credentials:RNC, MSN, NNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:801 SPOFFORD ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-1446
Mailing Address - Country:US
Mailing Address - Phone:512-445-0703
Mailing Address - Fax:512-445-4244
Practice Address - Street 1:1015 E 32ND ST
Practice Address - Street 2:SUITE 405
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-2707
Practice Address - Country:US
Practice Address - Phone:512-476-0895
Practice Address - Fax:512-476-0898
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX236686363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal