Provider Demographics
NPI:1043181159
Name:BATTLE, QUINTERREL (LPN)
Entity type:Individual
Prefix:
First Name:QUINTERREL
Middle Name:
Last Name:BATTLE
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 ARLINGTON AVE APT 115
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-4791
Mailing Address - Country:US
Mailing Address - Phone:862-395-1912
Mailing Address - Fax:
Practice Address - Street 1:85 ARLINGTON AVE APT 115
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-4791
Practice Address - Country:US
Practice Address - Phone:862-395-1912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY352788164W00000X
NJ26NP49925500164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse