Provider Demographics
NPI:1679728638
Name:QUEST, CAROL FRANCES (RN)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:FRANCES
Last Name:QUEST
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 S 1ST ST
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:WI
Mailing Address - Zip Code:53094-4409
Mailing Address - Country:US
Mailing Address - Phone:920-262-8090
Mailing Address - Fax:920-262-8096
Practice Address - Street 1:515 S 1ST ST
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:WI
Practice Address - Zip Code:53094-4409
Practice Address - Country:US
Practice Address - Phone:920-262-8090
Practice Address - Fax:920-262-8096
Is Sole Proprietor?:No
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI91385-030163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health