Provider Demographics
NPI:1689311052
Name:QUIST-NATTER, SOPHIE SHEPHERD
Entity Type:Individual
Prefix:
First Name:SOPHIE
Middle Name:SHEPHERD
Last Name:QUIST-NATTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 BELLAIRE ST APT 337
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-4944
Mailing Address - Country:US
Mailing Address - Phone:201-563-3710
Mailing Address - Fax:
Practice Address - Street 1:800 BELLAIRE ST APT 337
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-4944
Practice Address - Country:US
Practice Address - Phone:201-563-3710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-17
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach