Provider Demographics
NPI:1336770601
Name:SATTERLEE, ROBERT ELLIS JR (FNP-BC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:ELLIS
Last Name:SATTERLEE
Suffix:JR
Gender:M
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11900 NW EXPRESSWAY
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-8795
Mailing Address - Country:US
Mailing Address - Phone:405-283-9300
Mailing Address - Fax:405-283-9301
Practice Address - Street 1:11900 NW EXPRESSWAY
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-8795
Practice Address - Country:US
Practice Address - Phone:405-283-9300
Practice Address - Fax:405-283-9301
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-27
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COC-APN.0001870-C-NP363LF0000X
OKR0098041363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty