Provider Demographics
NPI:1821841438
Name:MCGILL, QUIANA
Entity Type:Individual
Prefix:
First Name:QUIANA
Middle Name:
Last Name:MCGILL
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 1:6979 CALVIN CREEK DR APT 202
Mailing Address - Street 2:
Mailing Address - City:CANAL WHCHSTR
Mailing Address - State:OH
Mailing Address - Zip Code:43110-3544
Mailing Address - Country:US
Mailing Address - Phone:614-815-1276
Mailing Address - Fax:
Practice Address - Street 1:6979 CALVIN CREEK DR APT 202
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-3544
Practice Address - Country:US
Practice Address - Phone:614-815-1276
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0036074163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health