Healthcare Provider Details

I. General information

NPI: 1609502517
Provider Name (Legal Business Name): QUINN N FIHN PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2022
Last Update Date: 07/25/2022
Certification Date: 07/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 MULLIS ST UNIT 207
FRIDAY HARBOR WA
98250-7809
US

IV. Provider business mailing address

206 WILDFLOWER LN
FRIDAY HARBOR WA
98250-7005
US

V. Phone/Fax

Practice location:
  • Phone: 360-499-3668
  • Fax:
Mailing address:
  • Phone: 206-713-8556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP61334121
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: