Provider Demographics
NPI:1609123579
Name:VEGA-SATTERLEE, ISABEL (LPN)
Entity Type:Individual
Prefix:
First Name:ISABEL
Middle Name:
Last Name:VEGA-SATTERLEE
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1475 CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:OH
Mailing Address - Zip Code:44047-8714
Mailing Address - Country:US
Mailing Address - Phone:440-275-5044
Mailing Address - Fax:
Practice Address - Street 1:1475 CHAPEL RD
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:OH
Practice Address - Zip Code:44047-8714
Practice Address - Country:US
Practice Address - Phone:440-275-5044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-10
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.131540 MEDS164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse