Provider Demographics
NPI:1457827735
Name:SATTLER, TRESSA MARIE (CNP)
Entity Type:Individual
Prefix:
First Name:TRESSA
Middle Name:MARIE
Last Name:SATTLER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 370
Mailing Address - Street 2:
Mailing Address - City:FREEMAN
Mailing Address - State:SD
Mailing Address - Zip Code:57029-0370
Mailing Address - Country:US
Mailing Address - Phone:605-925-4219
Mailing Address - Fax:
Practice Address - Street 1:510 E 8TH ST
Practice Address - Street 2:
Practice Address - City:FREEMAN
Practice Address - State:SD
Practice Address - Zip Code:57029-2086
Practice Address - Country:US
Practice Address - Phone:605-925-4219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-15
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDCP001475363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily