MRS. SANDRA CHRISTINE QUATTLEBAUM MS RN CNS ACNP-BC NPI 1679524763

NPI Information

NPI: 1679524763
Provider Name: MRS. SANDRA CHRISTINE QUATTLEBAUM, MS, RN, CNS, ACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: ACUTE CARE SURGERY MEDICAL GROUP INC

PECOS Registration: Yes

Address:
1150 N INDIAN CANYON DR
PALM SPRINGS, CA
ZIP 92262
Phone: (760) 323-6614
Get Directions

MRS. Sandra Christine Quattlebaum, MS, RN, CNS, ACNP-BC is an acute care nurse practitioner in Palm Springs, CA with 26 years of experience. MRS. Sandra Christine Quattlebaum, MS, RN, CNS, ACNP-BC NPI is 1679524763. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1150 N INDIAN CANYON DR
PALM SPRINGS, CA
ZIP 92262-872
Phone: (760) 323-6614
Fax: (760) 323-6347

The NPI 1679524763 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/13/2006 and was last updated on 12/30/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	470424/10336	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10336	OTHER	CALIFORNIA	NP CERTIFICATE NUMBER
2	470424	OTHER	CALIFORNIA	RN LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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