Provider Demographics
NPI:1104555655
Name:QUINN, AALIYAH DENESE
Entity type:Individual
Prefix:
First Name:AALIYAH
Middle Name:DENESE
Last Name:QUINN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1816 E 33RD ST
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50317-8604
Mailing Address - Country:US
Mailing Address - Phone:515-443-0908
Mailing Address - Fax:
Practice Address - Street 1:1816 E 33RD ST
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50317-8604
Practice Address - Country:US
Practice Address - Phone:515-443-0908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula