Provider Demographics
NPI:1447834056
Name:QUADA, DAWN RANAE (DNP, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:RANAE
Last Name:QUADA
Suffix:
Gender:
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1460 N MAIN ST UNIT 1B
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84660-1016
Mailing Address - Country:US
Mailing Address - Phone:385-518-0403
Mailing Address - Fax:385-518-0466
Practice Address - Street 1:1460 N MAIN ST UNIT 1B
Practice Address - Street 2:
Practice Address - City:SPANISH FORK
Practice Address - State:UT
Practice Address - Zip Code:84660-1016
Practice Address - Country:US
Practice Address - Phone:385-518-0403
Practice Address - Fax:385-518-0466
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-10
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10343326-3102163W00000X, 163WW0000X
NV884082163W00000X, 163WW0000X, 363LA2200X, 363LF0000X, 363LP2300X
UT10343326-4405363LA2200X, 363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Single Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care