Quattlebaum, Sandra Christine
Quattlebaum, Sandra Christine is an individual health care provider with primary practice located at 1150 N Indian Canyon Dr , Palm Springs CA 92262-4872. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Quattlebaum, Sandra Christine can be contacted via phone (760) 323-6614.Contact Information
Primary practice address
1150 N Indian Canyon Dr
Palm Springs CA 92262-4872
Phone: (760) 323-6614
Fax: (760) 323-6347
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 470424/10336 | California |
Profile Details
| NPI number | 1679524763 |
|---|---|
| LBN Legal business name | Quattlebaum, Sandra Christine |
| Credentials | MS, RN, CNS, ACNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2006 |
| Last updated | Dec 30th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679524763 | NPPES |
| California | Other | 10336 | NP CERTIFICATE NUMBER |
| California | Other | 470424 | NP CERTIFICATE NUMBER |
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