Healthcare Provider Details

I. General information

NPI: 1740699826
Provider Name (Legal Business Name): QUINN CROSTA DNP, ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2014
Last Update Date: 08/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 BROADWAY SWEDISH FIRST HILL #400
SEATTLE WA
98122-5395
US

IV. Provider business mailing address

2800 WESTERN AVE 216
SEATTLE WA
98121
US

V. Phone/Fax

Practice location:
  • Phone: 206-215-1440
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP 60466577
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: