Healthcare Provider Details

I. General information

NPI: 1952224834
Provider Name (Legal Business Name): KOURTNEE BRYANNE SATCHELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KOURTNEE BRYANNE JONES

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12230 E METZ DR
VAIL AZ
85641-6822
US

IV. Provider business mailing address

12230 E METZ DR
VAIL AZ
85641-6822
US

V. Phone/Fax

Practice location:
  • Phone: 719-640-2812
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN202161
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: