SATCHEL JAMES ITEN APRN CNP NPI 1992341796

NPI Information

NPI: 1992341796
Provider Name: SATCHEL JAMES ITEN, APRN, CNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: CENTRACARE CLINIC

PECOS Registration: Yes

Address:
1900 CENTRACARE CIR STE 500
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 229-5099
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Satchel James Iten, APRN, CNP is a gerontology nurse practitioner in Saint Cloud, MN with 5 years of experience. Satchel James Iten, APRN, CNP NPI is 1992341796. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2019

The provider's business location address is:

1900 CENTRACARE CIR STE 500
SAINT CLOUD, MN
ZIP 56303-000
Phone: (320) 229-5099

The NPI 1992341796 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/27/2019 and was last updated on 11/27/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	7049	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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