Individual
MRS. PENNY LEE SATRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
5685 INLAND SHORES WAY N, KEIZER, OR 97303-3794
(503) 779-2271
Mailing address
4123 IMPERIAL DR, WEST LINN, OR 97068-3647
(503) 805-1332
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
10000195
OR
363LG0600X
Gerontology Nurse Practitioner
10000195
OR
363LP2300X
Primary Care Nurse Practitioner
10000195
OR
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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