Provider Demographics
NPI:1023367414
Name:SATTERFIELD, LORICE
Entity Type:Individual
Prefix:
First Name:LORICE
Middle Name:
Last Name:SATTERFIELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:836 TILDEN ST
Mailing Address - Street 2:APT. 6B
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-6028
Mailing Address - Country:US
Mailing Address - Phone:718-881-2993
Mailing Address - Fax:718-881-2993
Practice Address - Street 1:836 TILDEN ST
Practice Address - Street 2:APT. 6B
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-6028
Practice Address - Country:US
Practice Address - Phone:718-881-2993
Practice Address - Fax:718-881-2993
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-31
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY255419163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse