Healthcare Provider Details

I. General information

NPI: 1447834056
Provider Name (Legal Business Name): DAWN RANAE QUADA DNP, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/10/2021
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1460 N MAIN ST UNIT 1B
SPANISH FORK UT
84660-1016
US

IV. Provider business mailing address

1460 N MAIN ST UNIT 1B
SPANISH FORK UT
84660-1016
US

V. Phone/Fax

Practice location:
  • Phone: 385-518-0403
  • Fax: 385-518-0466
Mailing address:
  • Phone: 385-518-0403
  • Fax: 385-518-0466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number10343326-4405
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number10343326-3102
License Number StateUT
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number884082
License Number StateNV
# 4
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number884082
License Number StateNV
# 5
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number10343326-3102
License Number StateUT
# 6
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3571659
License Number StateID
# 7
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number10343326-4405
License Number StateUT
# 8
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number884082
License Number StateNV
# 9
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number884082
License Number StateNV
# 10
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number884082
License Number StateNV
# 11
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number10343326-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: