Larry Quintanilla in Tripler Amc - Licensed Practical Nurse
Larry Quintanilla - NPI 1225015860
Larry Quintanilla is a Licensed Practical Nurse in Tripler Amc, Hawaii. Larry Quintanilla practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Larry Quintanilla is 1225015860. The last update date is 2007-07-08.
Larry Quintanilla's current location address is 1 Jarrett White Rd, Tripler Amc, Hawaii. You can contact this provider via phone number 8084332043. The mailing address for Larry Quintanilla is 1 Jarrett White Rd, Tripler Amc, Hawaii. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Quintanilla |
|---|---|
| Address | 1 Jarrett White Rd, Tripler Amc, Hawaii |
| Phone Number | 8084332043 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1225015860 |
|---|---|
| Provider Enumeration Date | 2005-12-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1 Jarrett White Rd |
|---|---|
| City | Tripler Amc |
| State | Hawaii (HI) |
| Post Code | 968595001 |
| Phone Number | 8084332043 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 34825 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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What is the unique 10-digit identification code issued to Larry Quintanilla by the Centers for Medicare & Medicaid Services?
The Larry Quintanilla has been assigned the NPI (National Provider Identifier) 1225015860 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Larry Quintanilla?
The Larry Quintanilla is situated at 1 Jarrett White Rd, in the city of Tripler Amc, state of HI, with the zip code 968595001.
What is Larry Quintanilla's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Larry Quintanilla's specialized field of practice is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this area of specialization is 164W00000X.
On what date did the Larry Quintanilla receive its 1225015860 assignment from the Centers for Medicare & Medicaid Services?
The Larry Quintanilla was assigned its 1225015860 by the Centers for Medicare & Medicaid Services on 2005-12-24.
As of what date was the information regarding Larry Quintanilla, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Larry Quintanilla, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY