Provider Demographics
NPI:1578918637
Name:SATTERLY, MICHELLE RHEA (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:RHEA
Last Name:SATTERLY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MRS
Other - First Name:MICHELLE
Other - Middle Name:RHEA
Other - Last Name:HUTCHCROFT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:2560 24TH STREET
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ROCK ISLAND
Mailing Address - State:IL
Mailing Address - Zip Code:61201
Mailing Address - Country:US
Mailing Address - Phone:309-779-4150
Mailing Address - Fax:309-779-4155
Practice Address - Street 1:2560 24TH STREET
Practice Address - Street 2:SUITE 102
Practice Address - City:ROCK ISLAND
Practice Address - State:IL
Practice Address - Zip Code:61201
Practice Address - Country:US
Practice Address - Phone:309-779-4150
Practice Address - Fax:309-779-4155
Is Sole Proprietor?:No
Enumeration Date:2016-04-26
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.016313363LF0000X
IA127858363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily