Provider Demographics
NPI:1801288626
Name:QUIRANTE, BLESSY KRISTA (RN)
Entity type:Individual
Prefix:
First Name:BLESSY KRISTA
Middle Name:
Last Name:QUIRANTE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4237 JUDGE ST FL 2
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-2554
Mailing Address - Country:US
Mailing Address - Phone:646-670-6585
Mailing Address - Fax:
Practice Address - Street 1:4237 JUDGE ST FL 2
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-2554
Practice Address - Country:US
Practice Address - Phone:646-670-6585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-03
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY645098163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse