Healthcare Provider Details

I. General information

NPI: 1447238514
Provider Name (Legal Business Name): NICHOLE BATEMAN SATTERWHITE PA-C, MPAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NICHOLE BATEMAN PA-C, MPAS

II. Dates (important events)

Enumeration Date: 01/09/2006
Last Update Date: 12/13/2024
Certification Date: 12/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 2ND AVE SW STE 104
MIAMI OK
74354-6708
US

IV. Provider business mailing address

5300 N INDEPENDENCE AVE 280
OKLAHOMA CITY OK
73112-5556
US

V. Phone/Fax

Practice location:
  • Phone: 918-540-7867
  • Fax: 918-540-7875
Mailing address:
  • Phone: 918-540-7867
  • Fax: 918-540-7875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA851
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: