Provider Demographics
NPI:1336389709
Name:QUINN, TANYA URSULA (DC)
Entity Type:Individual
Prefix:DR
First Name:TANYA
Middle Name:URSULA
Last Name:QUINN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 TOWLE AVE
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03842-2233
Mailing Address - Country:US
Mailing Address - Phone:603-244-6826
Mailing Address - Fax:603-601-6678
Practice Address - Street 1:28 TOWLE AVE
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03842-2233
Practice Address - Country:US
Practice Address - Phone:603-244-6826
Practice Address - Fax:603-601-6678
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-25
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH835-0309111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor