Individual
MS. SANDRA MARKS-WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1400 EMELINE AVE, BLDG K, SANTA CRUZ, CA 95060-1976
(831) 454-4900
(831) 454-4916
Mailing address
1400 EMELINE AVE, BLDG K, SANTA CRUZ, CA 95060-1976
(831) 454-4900
(831) 454-4916
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
283553
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
283553
REGISTERED NURSE LICENSE
CA
Enumeration date
06/28/2007
Last updated
07/08/2007
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