Individual
MRS. SANDRA CHRISTINE QUATTLEBAUM
Active
Individual
MRS. SANDRA CHRISTINE QUATTLEBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RN, CNS, ACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
470424/10336
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10336
NP CERTIFICATE NUMBER
CA
01
—
470424
RN LICENSE NUMBER
CA
Enumeration date
05/13/2006
Last updated
12/30/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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