Provider Demographics
NPI:1942073028
Name:QUINNETT, EMILY ROSE (PA-S)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ROSE
Last Name:QUINNETT
Suffix:
Gender:F
Credentials:PA-S
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:ROSE
Other - Last Name:QUINNETT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA-S
Mailing Address - Street 1:3475 PLYMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-2550
Mailing Address - Country:US
Mailing Address - Phone:734-995-7300
Mailing Address - Fax:
Practice Address - Street 1:3475 PLYMOUTH RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-2550
Practice Address - Country:US
Practice Address - Phone:734-995-7300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-01
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program