Healthcare Provider Details

I. General information

NPI: 1588164743
Provider Name (Legal Business Name): ARIANNA ZAMORA QUINTANA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2018
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 SW FRAZIER AVE
TOPEKA KS
66606-1963
US

IV. Provider business mailing address

325 SW FRAZIER AVE
TOPEKA KS
66606-1963
US

V. Phone/Fax

Practice location:
  • Phone: 785-232-5005
  • Fax: 888-972-5038
Mailing address:
  • Phone: 785-232-5005
  • Fax: 888-972-5038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number14828
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: