Doctor Name: | AMANDA BETH SATTELBERG |
NPI Number: | 1255766630 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 338152 |
Business Practice Address: | 6341 Charlotteville Rd Newfane, NY - 141089755 |
Business Phone Number: | 7167787334 |
Business Fax Number: | |
Mailing Address: | 6341 Charlotteville Rd, NEWFANE |
State: | NY |
Postal Code: | 141089755 |
Phone Number: | 7167787334 |
Fax Number: | |
NPI Enumeration Date: | 09/04/2013 |
NPI Last Update Date: | 09/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 338152 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |