Healthcare Provider Details

I. General information

NPI: 1174189575
Provider Name (Legal Business Name): MICHELLE SATTLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2019
Last Update Date: 05/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 MAPLE ST
HOLYOKE MA
01040-5144
US

IV. Provider business mailing address

230 MAPLE ST STE 1
HOLYOKE MA
01040-5140
US

V. Phone/Fax

Practice location:
  • Phone: 413-420-2200
  • Fax: 413-534-5416
Mailing address:
  • Phone: 413-420-2200
  • Fax: 413-534-5416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN230101
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: