Provider Demographics
NPI:1710603915
Name:SATTLER, MAKAELA (LVN)
Entity Type:Individual
Prefix:
First Name:MAKAELA
Middle Name:
Last Name:SATTLER
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2615 CALDER ST STE 610
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77702-1947
Mailing Address - Country:US
Mailing Address - Phone:409-344-1236
Mailing Address - Fax:
Practice Address - Street 1:2615 CALDER ST STE 610
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-1947
Practice Address - Country:US
Practice Address - Phone:409-344-1236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1092159164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse