Basic Information
| Provider Information | |||||||||
| NPI: | 1417206657 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | QUINN | ||||||||
| FirstName: | AMY | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | FNP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6073 S ZENO CT | ||||||||
| Address2: | |||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800161178 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3038800651 | ||||||||
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| Practice Location | |||||||||
| Address1: | 29270 EAST SMOKY HILL ROAD | ||||||||
| Address2: | |||||||||
| City: | CENTENNIAL | ||||||||
| State: | CO | ||||||||
| PostalCode: | 80015 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3036800664 | ||||||||
| FaxNumber: | 3036932043 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/04/2012 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | APN0990462 | CO | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | F0712440 | 01 | FNP CERTIFICATION | OTHER | 84428724 | 05 | CO | MEDICAID |