Provider Demographics
NPI:1124810056
Name:BURTON, QUINNDALIN MARIE (RN)
Entity type:Individual
Prefix:
First Name:QUINNDALIN
Middle Name:MARIE
Last Name:BURTON
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 1:2344 SHAWNEE RD
Mailing Address - Street 2:PMB #126
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45805-3887
Mailing Address - Country:US
Mailing Address - Phone:614-561-8619
Mailing Address - Fax:
Practice Address - Street 1:2690 ALEXANDRIA DR
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45805-2678
Practice Address - Country:US
Practice Address - Phone:614-561-8619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.372229163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse