Healthcare Provider Details

I. General information

NPI: 1285312439
Provider Name (Legal Business Name): GABRIELA CAMILLA QUIROZ DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2023
Last Update Date: 07/07/2023
Certification Date: 07/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 PACIFIC AVE STE 501
EVERETT WA
98201-4189
US

IV. Provider business mailing address

1305 N 90TH ST
SEATTLE WA
98103-4052
US

V. Phone/Fax

Practice location:
  • Phone: 425-258-7550
  • Fax:
Mailing address:
  • Phone: 925-818-2345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAP61434637
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: