Provider Demographics
NPI:1265131510
Name:QUINTANILLA, ADRIANNA (A-GNP-C)
Entity type:Individual
Prefix:
First Name:ADRIANNA
Middle Name:
Last Name:QUINTANILLA
Suffix:
Gender:F
Credentials:A-GNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17050 ASHBURY LDG
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-5826
Mailing Address - Country:US
Mailing Address - Phone:210-213-7812
Mailing Address - Fax:
Practice Address - Street 1:23119 W INTERSTATE 10 STE 9
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78257-1764
Practice Address - Country:US
Practice Address - Phone:210-972-8058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-27
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAG01230015363LG0600X
TX1113491363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology