MEDICARE: KARINA QUINTANA CPNP

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	363LP0200X	Pediatric Nurse Practitioner	1141115	TX

General Provider Information

NPI Number	:	1992562672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARINA QUINTANA CPNP

Provider Business Mailing Address
First Line	:	840 E REDD RD BLDG 3
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-7265
Country	:	US
Telephone Number	:	915-270-8057
Fax Number	:

Provider Business Practice Location Address
First Line	:	444 EXECUTIVE CENTER BLVD STE 203
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-1056
Country	:	US
Telephone Number	:	915-223-2020
Fax Number	:	254-549-9557

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

Provider Enumeration Date	:	02/29/2024
Last Update Date	:	05/13/2025

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