Healthcare Provider Details

I. General information

NPI: 1336971290
Provider Name (Legal Business Name): MS. APRIL QUINNIE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2024
Last Update Date: 08/19/2024
Certification Date: 08/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 LINE ST
MOBILE AL
36608-5509
US

IV. Provider business mailing address

510 LINE ST
MOBILE AL
36608-5509
US

V. Phone/Fax

Practice location:
  • Phone: 251-458-0006
  • Fax: 251-259-5378
Mailing address:
  • Phone: 251-458-0006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number22-0224
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: