Provider Demographics
NPI:1922200740
Name:SATCHELL, CAMELIA BASILIA (NURSE)
Entity Type:Individual
Prefix:MS
First Name:CAMELIA
Middle Name:BASILIA
Last Name:SATCHELL
Suffix:
Gender:F
Credentials:NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 PARKSIDE AVE
Mailing Address - Street 2:D5W
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-1465
Mailing Address - Country:US
Mailing Address - Phone:347-350-8221
Mailing Address - Fax:
Practice Address - Street 1:280 PARKSIDE AVE
Practice Address - Street 2:D5W
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-1465
Practice Address - Country:US
Practice Address - Phone:347-350-8221
Practice Address - Fax:347-350-8221
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY249202-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse