Provider Demographics
NPI:1821865940
Name:HAKKARAINEN, QUILLAH WHITE (NP)
Entity Type:Individual
Prefix:
First Name:QUILLAH
Middle Name:WHITE
Last Name:HAKKARAINEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 HICKORY DR
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01543-1929
Mailing Address - Country:US
Mailing Address - Phone:603-769-1433
Mailing Address - Fax:
Practice Address - Street 1:4 HICKORY DR
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:MA
Practice Address - Zip Code:01543-1929
Practice Address - Country:US
Practice Address - Phone:603-769-1433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-08
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2353467363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner