Provider Demographics
NPI:1639958366
Name:QUITORIANO-SUAN, FLORMINA ARRUEJO (RN)
Entity Type:Individual
Prefix:MS
First Name:FLORMINA
Middle Name:ARRUEJO
Last Name:QUITORIANO-SUAN
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 1:3637 DEVONSHIRE ST
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-3724
Mailing Address - Country:US
Mailing Address - Phone:586-883-3038
Mailing Address - Fax:
Practice Address - Street 1:17520 W 12 MILE RD
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-1945
Practice Address - Country:US
Practice Address - Phone:248-281-6880
Practice Address - Fax:248-281-6871
Is Sole Proprietor?:No
Enumeration Date:2023-09-22
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704188083163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse