Provider Demographics
NPI:1992468060
Name:QUINN, BRANIYA
Entity Type:Individual
Prefix:MISS
First Name:BRANIYA
Middle Name:
Last Name:QUINN
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 1:111 S BYRNE RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-6212
Mailing Address - Country:US
Mailing Address - Phone:419-531-5544
Mailing Address - Fax:419-531-5117
Practice Address - Street 1:111 S BYRNE RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-6212
Practice Address - Country:US
Practice Address - Phone:419-531-5544
Practice Address - Fax:419-531-5117
Is Sole Proprietor?:No
Enumeration Date:2021-10-15
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator