Provider Demographics
NPI:1558929117
Name:SATEIA, AMBER D (FNP-BC)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:D
Last Name:SATEIA
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MRS
Other - First Name:AMBER
Other - Middle Name:
Other - Last Name:WHITFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:619 GARNET CT
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:MO
Mailing Address - Zip Code:63383-3448
Mailing Address - Country:US
Mailing Address - Phone:636-466-3816
Mailing Address - Fax:
Practice Address - Street 1:406 S MAIN CROSS ST UNIT A
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:MO
Practice Address - Zip Code:63334-2239
Practice Address - Country:US
Practice Address - Phone:573-213-9917
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-30
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019017413363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily