Healthcare Provider Details

I. General information

NPI: 1457233041
Provider Name (Legal Business Name): ANDRIAN MARIE QUIHUIS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2025
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 N ESTRELLA PKWY
GOODYEAR AZ
85338-9334
US

IV. Provider business mailing address

251 N ESTRELLA PKWY
GOODYEAR AZ
85338-9334
US

V. Phone/Fax

Practice location:
  • Phone: 623-322-6900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number249321
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: