Healthcare Provider Details

I. General information

NPI: 1578962528
Provider Name (Legal Business Name): CHLOE QUINN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2014
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4033 TALBOT RD S STE 200
RENTON WA
98055-5751
US

IV. Provider business mailing address

4033 TALBOT RD S STE 200
RENTON WA
98055-5751
US

V. Phone/Fax

Practice location:
  • Phone: 425-690-3479
  • Fax: 425-690-9479
Mailing address:
  • Phone: 425-690-3479
  • Fax: 425-690-9479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number005700
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: