Provider Demographics
NPI:1982178588
Name:SATTLEEN, APRIL R (CMA)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:R
Last Name:SATTLEEN
Suffix:
Gender:F
Credentials:CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1821 LECLERC RD N STE 1
Mailing Address - Street 2:
Mailing Address - City:CUSICK
Mailing Address - State:WA
Mailing Address - Zip Code:99119-5015
Mailing Address - Country:US
Mailing Address - Phone:509-447-7111
Mailing Address - Fax:509-445-5020
Practice Address - Street 1:1821 LECLERC RD N STE 1
Practice Address - Street 2:
Practice Address - City:CUSICK
Practice Address - State:WA
Practice Address - Zip Code:99119-5015
Practice Address - Country:US
Practice Address - Phone:509-447-7111
Practice Address - Fax:509-445-5020
Is Sole Proprietor?:No
Enumeration Date:2019-01-16
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA6036247172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker