=====================================================
General NPI Number Information
=====================================================
NPI Number | 1720939689
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | OLIVIA L QUINBY PA-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/06/2026
-----------------------------------------------------
Last Update Date | 02/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1227 E RUSHOLME ST
-----------------------------------------------------
City | DAVENPORT
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 52803-2459
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 563-421-1000
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2176 CHEYENNE WAY
-----------------------------------------------------
City | ASBURY
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 52002-9671
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 319-784-7342
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363A00000X
-----------------------------------------------------
Taxonomy Name | Physician Assistant
-----------------------------------------------------
License Number | 085.011996
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------