Healthcare Provider Details

I. General information

NPI: 1104691435
Provider Name (Legal Business Name): SARAH ANN SATTERLEE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2023
Last Update Date: 11/16/2023
Certification Date: 11/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

528 N MAIN ST
PROVIDENCE RI
02904-5757
US

IV. Provider business mailing address

4 RIVERWOODS CT
RUMFORD RI
02916-3355
US

V. Phone/Fax

Practice location:
  • Phone: 401-276-4020
  • Fax:
Mailing address:
  • Phone: 401-829-3545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN03839
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: