Individual
MRS. SANDRA CHRISTINE QUATTLEBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RN, CNS, ACNP-BC
Contact information
Practice address
1150 N INDIAN CANYON DR, PALM SPRINGS, CA 92262-4872
(760) 323-6614
(760) 323-6347
Mailing address
43336 LAGO BREEZA DR, INDIO, CA 92203-2960
(916) 284-3848
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
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