Healthcare Provider Details

I. General information

NPI: 1457719791
Provider Name (Legal Business Name): MONIQUE MAREE QUINT FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2016
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 SUPERIOR AVE STE 100
NEWPORT BEACH CA
92663-3660
US

IV. Provider business mailing address

14941 DOHENY CIR
IRVINE CA
92604-2359
US

V. Phone/Fax

Practice location:
  • Phone: 949-764-5793
  • Fax: 949-764-5792
Mailing address:
  • Phone: 951-907-6507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number286075
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95037357
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: