Provider Demographics
NPI:1023342508
Name:SATCHEL, DANA RENEE (LPN)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:RENEE
Last Name:SATCHEL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:RENEE
Other - Last Name:MAGNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:15 PULHAM DR
Mailing Address - Street 2:
Mailing Address - City:BELLA VISTA
Mailing Address - State:AR
Mailing Address - Zip Code:72714-1833
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:609 W DYKE RD
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-6442
Practice Address - Country:US
Practice Address - Phone:479-927-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-30
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK0057521164W00000X
KS24-39649-122164W00000X
ARLO57796164W00000X
ARL057796164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse