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NPI Code Detail

MEDICARE: MS. GABRIELLE PAULETTE SATTERFIELD FNP BC

MEDICARE: MS. GABRIELLE PAULETTE SATTERFIELD FNP BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner117323MO

General Provider Information

NPI Number : 1093709982
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. GABRIELLE PAULETTE SATTERFIELD FNP BC
Provider Business Mailing Address
First Line : 5701 DELMAR BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63112-2617
Country : US
Telephone Number : 314-367-7848
Fax Number : 314-367-2985
Provider Business Practice Location Address
First Line : 5701 DELMAR BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63112-2617
Country : US
Telephone Number : 314-367-7848
Fax Number : 314-367-2985
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 05/24/2025

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