Healthcare Provider Details

I. General information

NPI: 1992533350
Provider Name (Legal Business Name): JOYCE DANAI QUINTERO CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2024
Last Update Date: 07/25/2024
Certification Date: 07/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

367 ARBORETUM DR APT 206
WILMINGTON NC
28405-6301
US

IV. Provider business mailing address

367 ARBORETUM DR APT 206
WILMINGTON NC
28405-6301
US

V. Phone/Fax

Practice location:
  • Phone: 336-470-8022
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number567377
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: