Provider Demographics
NPI:1265809560
Name:QUINN, NATHAN JAMES (NREMT-P)
Entity type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:JAMES
Last Name:QUINN
Suffix:
Gender:M
Credentials:NREMT-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10251 SW 80TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3974
Mailing Address - Country:US
Mailing Address - Phone:415-254-6279
Mailing Address - Fax:
Practice Address - Street 1:10251 SW 80TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3974
Practice Address - Country:US
Practice Address - Phone:415-254-6279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-21
Last Update Date:2015-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COM5017766146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic