Individual provider · NPI-1

Anita Quiroz, PNP

Nurse Practitioner, Pediatrics · Stockton, CA

NPI number1639295660
StatusActive
Last updated in NPPESOct 25, 2011

Details

NPI
1639295660
Entity type
Individual (NPI-1)
Name
Anita Quiroz
Credential
PNP
Sex
Female
Sole proprietor
No
Enumeration date
Mar 21, 2007
Last updated
Oct 25, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsRN293195CAYes

Practice location

89 W March Ln
Suite #1
Stockton, CA 95207-5721

Phone 209-478-2622 · Fax 209-870-2754

Mailing address

89 W March Ln
Suite #1
Stockton, CA 95207-5721

Phone 209-478-2622 · Fax 209-870-2754

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