Healthcare Provider Details

I. General information

NPI: 1376473066
Provider Name (Legal Business Name): NEUS QUINONERO ANO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6508 DEER POINTE DR STE 4C
SALISBURY MD
21804-1668
US

IV. Provider business mailing address

6508 DEER POINTE DR STE 4C
SALISBURY MD
21804-1668
US

V. Phone/Fax

Practice location:
  • Phone: 410-742-6016
  • Fax: 410-742-6014
Mailing address:
  • Phone: 410-742-6016
  • Fax: 410-742-6014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLGP17941
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: