Quinette, Mallory Ann

Quinette, Mallory Ann is an individual health care provider with primary practice located at 6901 Simmons Loop Fl 4 , Riverview FL 33578-9498. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Quinette, Mallory Ann can be contacted via phone (813) 302-8522.

Contact Information

Primary practice address
6901 Simmons Loop Fl 4 Riverview FL 33578-9498
Phone: (813) 302-8522
Fax: (813) 605-6167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11005460 Florida

Profile Details

NPI number 1265076053
LBN Legal business name Quinette, Mallory Ann
Credentials MSN, APRN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2019
Last updated Mar 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265076053 NPPES
Florida MEDICAID 106159500

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