Provider Demographics
NPI:1992562672
Name:QUINTANA, KARINA (CPNP)
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:
Last Name:QUINTANA
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:KARINA
Other - Middle Name:
Other - Last Name:QUINTANA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:444 EXECUTIVE CENTER BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-1056
Mailing Address - Country:US
Mailing Address - Phone:915-223-2020
Mailing Address - Fax:
Practice Address - Street 1:444 EXECUTIVE CENTER BLVD STE 203
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-1056
Practice Address - Country:US
Practice Address - Phone:915-223-2020
Practice Address - Fax:254-549-9557
Is Sole Proprietor?:No
Enumeration Date:2024-02-29
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1141115363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics