Healthcare Provider Details

I. General information

NPI: 1760150312
Provider Name (Legal Business Name): QUINN TAYLOR OFFICER CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2021
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14239 W BELL RD
SURPRISE AZ
85374-2469
US

IV. Provider business mailing address

3624 N WELLS FARGO AVE
SCOTTSDALE AZ
85251-5608
US

V. Phone/Fax

Practice location:
  • Phone: 623-584-0800
  • Fax:
Mailing address:
  • Phone: 602-350-9296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License Number247835
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number247835
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: