Healthcare Provider Details

I. General information

NPI: 1831001296
Provider Name (Legal Business Name): ALEXANDRIA QUINN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 OSTRUM ST
BETHLEHEM PA
18015-1000
US

IV. Provider business mailing address

741 COLUMBIA AVE
PALMERTON PA
18071-1403
US

V. Phone/Fax

Practice location:
  • Phone: 610-954-5810
  • Fax:
Mailing address:
  • Phone: 610-909-6312
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number26NR26233700
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN697079
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: