Individual
SATCHEL JAMES ITEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CNP
Contact information
Practice address
1900 CENTRACARE CIR STE 500, SAINT CLOUD, MN 56303-5000
(320) 229-5099
Mailing address
1137 ORCHID DR NE, SAUK RAPIDS, MN 56379-4404
(320) 291-3653
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
7049
MN
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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