Healthcare Provider Details

I. General information

NPI: 1174557581
Provider Name (Legal Business Name): ANNA CATHERINE QUAST NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 05/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 O W ST NW
WASHINGTON DC
20001-1014
US

IV. Provider business mailing address

60 O W ST NW
WASHINGTON DC
20001-1014
US

V. Phone/Fax

Practice location:
  • Phone: 619-515-2323
  • Fax: 619-906-4564
Mailing address:
  • Phone: 619-515-2323
  • Fax: 619-906-4564

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN1006698
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: