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NPI Code Detail

MEDICARE: SHANNON SATTERFIELD

MEDICARE:   SHANNON  SATTERFIELD
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
1164W00000XLicensed Practical Nurse27056229AIN

General Provider Information

NPI Number : 1821212242
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON SATTERFIELD
Provider Business Mailing Address
First Line : 412 NW 1ST ST
Second Line :
City : RICHMOND
State : IN
Zip : 47374-2905
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4265 S A ST
Second Line :
City : RICHMOND
State : IN
Zip : 47374-6049
Country : US
Telephone Number : 765-962-8843
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2007
Last Update Date : 07/08/2007

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Directions to “ SHANNON SATTERFIELD ” Practice Location

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