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1144871120 NPI number — DANIELLE LYNN QUINTANA NP

NPI Number: 1144871120
Health Care Provider/Practitioner: DANIELLE LYNN QUINTANA NP

Information about “1144871120” NPI (DANIELLE LYNN QUINTANA NP) exists in 1144871120 in HTML format HTML  |  1144871120 in plain Text format TXT  |  1144871120 in PDF (Portable Document Format) PDF  |  1144871120 in an XML format XML  formats.

NPI Number : 1144871120 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144871120",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "QUINTANA",
    "FirstName": "DANIELLE",
    "MiddleName": "LYNN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SCHNOEKER",
    "OtherFirstName": "DANIELLE",
    "OtherMiddleName": "L",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "509 HAMACHER ST STE 103",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WATERLOO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "62298-1592",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "618-939-3939",
    "MailingAddressFaxNumber": "618-939-0234",
    "FirstLinePracticeLocationAddress": "509 HAMACHER STREET",
    "SecondLinePracticeLocationAddress": "SUITE 103",
    "PracticeLocationAddressCityName": "WATERLOO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "62298-2024",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "618-939-3939",
    "PracticeLocationAddressFaxNumber": "618-939-0234",
    "EnumerationDate": "09/22/2019",
    "LastUpdateDate": "08/06/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "209020607",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "209020607",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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