Provider Demographics
NPI:1144437922
Name:QUEVEDO, VIOLETA D (RNP, MSN, PHN)
Entity type:Individual
Prefix:MS
First Name:VIOLETA
Middle Name:D
Last Name:QUEVEDO
Suffix:
Gender:F
Credentials:RNP, MSN, PHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21332 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-2046
Mailing Address - Country:US
Mailing Address - Phone:909-594-0571
Mailing Address - Fax:714-535-7420
Practice Address - Street 1:1801 W ROMNEYA DR
Practice Address - Street 2:STE 507
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-1830
Practice Address - Country:US
Practice Address - Phone:714-535-7400
Practice Address - Fax:714-535-7420
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP 11445363LX0001X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health