Provider Demographics
NPI:1447057229
Name:QUINTELA, ISABEL MONTELOYOLA
Entity type:Individual
Prefix:
First Name:ISABEL
Middle Name:MONTELOYOLA
Last Name:QUINTELA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 S STEVENS ST APT 6
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-1185
Mailing Address - Country:US
Mailing Address - Phone:682-333-3616
Mailing Address - Fax:
Practice Address - Street 1:14815 PACIFIC AVE S
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98444-4654
Practice Address - Country:US
Practice Address - Phone:253-697-8660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN61570738163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency