=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578962528
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CHLOE QUINN APRN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/15/2014
-----------------------------------------------------
Last Update Date | 10/31/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4033 TALBOT RD S STE 200
-----------------------------------------------------
City | RENTON
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98055-5751
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-690-3479
-----------------------------------------------------
Fax | 425-690-9479
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4033 TALBOT RD S STE 200
-----------------------------------------------------
City | RENTON
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98055-5751
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-690-3479
-----------------------------------------------------
Fax | 425-690-9479
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LW0102X
-----------------------------------------------------
Taxonomy Name | Women's Health Nurse Practitioner
-----------------------------------------------------
License Number | 005700
-----------------------------------------------------
License Number State | CT
-----------------------------------------------------