Healthcare Provider Details

I. General information

NPI: 1225867914
Provider Name (Legal Business Name): JEMALENE CORTES SATTRO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JEMALENE YTURRALDE CORTES RN

II. Dates (important events)

Enumeration Date: 07/30/2024
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10240 PARK MEADOWS DR
LONE TREE CO
80124-5425
US

IV. Provider business mailing address

953 DANCING HORSE DR
COLORADO SPRINGS CO
80919-3955
US

V. Phone/Fax

Practice location:
  • Phone: 303-397-4005
  • Fax:
Mailing address:
  • Phone: 951-237-2618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberMSRN.0000261
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: