Provider Demographics
NPI:1477616761
Name:VANDERPLAATS, SHARON QUA (RN, NP)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:QUA
Last Name:VANDERPLAATS
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:MARGARET
Other - Last Name:QUA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9300 VALLEY CHILDRENS PL
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93638-8761
Mailing Address - Country:US
Mailing Address - Phone:559-353-8030
Mailing Address - Fax:559-353-8650
Practice Address - Street 1:9300 VALLEY CHILDRENS PL
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93638-8761
Practice Address - Country:US
Practice Address - Phone:559-353-8030
Practice Address - Fax:559-353-8650
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN 358488163W00000X
CANP 7813363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse