Individual
COLLEEN L SANDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, MS
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-4602
(619) 532-8943
Mailing address
161 G AVE, CORONADO, CA 92118-1215
(901) 687-7204
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
00024166167
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
2322
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010243149
—
VA
Enumeration date
08/22/2006
Last updated
02/15/2024
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