Healthcare Provider Details

I. General information

NPI: 1831060920
Provider Name (Legal Business Name): JAMIE QUITORIANO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2025
Last Update Date: 09/13/2025
Certification Date: 09/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 RIVER BEND LN
PROVO UT
84604-5625
US

IV. Provider business mailing address

255 S UNIVERSITY AVE APT A213
PROVO UT
84601-4461
US

V. Phone/Fax

Practice location:
  • Phone: 801-226-8880
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number13337304-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: