Healthcare Provider Details

I. General information

NPI: 1215869607
Provider Name (Legal Business Name): HANNAH J QUINLAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2304 UNIVERSITY AVE
DES MOINES IA
50311-4316
US

IV. Provider business mailing address

1108 DEER RIDGE DR NW
BONDURANT IA
50035-1480
US

V. Phone/Fax

Practice location:
  • Phone: 877-859-0542
  • Fax: 319-931-6204
Mailing address:
  • Phone: 319-931-6204
  • Fax: 319-931-6204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA191434
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: