Provider Demographics
NPI:1255809737
Name:QUINTANA, GISSELLE MARIA (APRN)
Entity type:Individual
Prefix:
First Name:GISSELLE
Middle Name:MARIA
Last Name:QUINTANA
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Gender:F
Credentials:APRN
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Mailing Address - Street 1:9960 NW 116TH WAY STE 13
Mailing Address - Street 2:
Mailing Address - City:MEDLEY
Mailing Address - State:FL
Mailing Address - Zip Code:33178-1175
Mailing Address - Country:US
Mailing Address - Phone:786-924-1311
Mailing Address - Fax:786-924-1313
Practice Address - Street 1:3200 SW 60TH CT STE 302
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-4071
Practice Address - Country:US
Practice Address - Phone:954-371-0107
Practice Address - Fax:305-663-2813
Is Sole Proprietor?:No
Enumeration Date:2018-11-02
Last Update Date:2021-09-30
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11000033363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics