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NPI Code Detail

MEDICARE: DEANNA M QUINN-STEVENSON FNP

MEDICARE: DEANNA M QUINN-STEVENSON FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP04524LA

General Provider Information

NPI Number : 1467457481
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEANNA M QUINN-STEVENSON FNP
Provider Business Mailing Address
First Line : PO BOX 1103
Second Line :
City : HARVEY
State : LA
Zip : 70059-1103
Country : US
Telephone Number : 504-319-1519
Fax Number :
Provider Business Practice Location Address
First Line : 820 W ESPLANADE AVE
Second Line :
City : KENNER
State : LA
Zip : 70065-2757
Country : US
Telephone Number : 504-340-7031
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 09/04/2015

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