Provider Demographics
NPI:1396342176
Name:QUAINTANCE, BRITTNEY (BSN, RN)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:QUAINTANCE
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:E8137 COUNTY ROAD X
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:WI
Mailing Address - Zip Code:54961-8058
Mailing Address - Country:US
Mailing Address - Phone:920-538-1607
Mailing Address - Fax:
Practice Address - Street 1:E8137 COUNTY ROAD X
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:WI
Practice Address - Zip Code:54961-8058
Practice Address - Country:US
Practice Address - Phone:920-538-1607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI178607163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse