MEDICARE: NELSY MERCEDES QUINTEROS APRN, FNP-C

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
1	163W00000X	Registered Nurse	961526	TX
2	363LF0000X	Family Nurse Practitioner	1157791	TX

General Provider Information

NPI Number	:	1841021599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NELSY MERCEDES QUINTEROS APRN, FNP-C

Provider Business Mailing Address
First Line	:	PO BOX 746079
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-6079
Country	:	US
Telephone Number	:	312-733-9730
Fax Number	:

Provider Business Practice Location Address
First Line	:	11600 FM 1960 RD W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77065-3516
Country	:	US
Telephone Number	:	832-919-8610
Fax Number	:	281-862-7119

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2024
Last Update Date	:	08/27/2024

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Directions to “ NELSY MERCEDES QUINTEROS APRN, FNP-C” Practice Location

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