Healthcare Provider Details

I. General information

NPI: 1043721418
Provider Name (Legal Business Name): DANNIEL QUINNETT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2017
Last Update Date: 08/23/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3922 N MINERSVILLE HWY
ENOCH UT
84721-7224
US

IV. Provider business mailing address

3922 N MINERSVILLE HWY
CEDAR CITY UT
84721-7224
US

V. Phone/Fax

Practice location:
  • Phone: 435-267-4212
  • Fax:
Mailing address:
  • Phone: 435-986-8700
  • Fax: 435-986-8700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number137217153501
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: