MEDICARE: HANNAH J QUINLAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	A191434	IA

General Provider Information

NPI Number	:	1215869607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH J QUINLAN

Provider Business Mailing Address
First Line	:	1108 DEER RIDGE DR NW
Second Line	:
City	:	BONDURANT
State	:	IA
Zip	:	50035-1480
Country	:	US
Telephone Number	:	319-931-6204
Fax Number	:	319-931-6204

Provider Business Practice Location Address
First Line	:	2304 UNIVERSITY AVE
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50311-4316
Country	:	US
Telephone Number	:	877-859-0542
Fax Number	:	319-931-6204

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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