Provider Demographics
NPI:1215509203
Name:WEBSTER, SATIN (ARNP)
Entity type:Individual
Prefix:
First Name:SATIN
Middle Name:
Last Name:WEBSTER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:335 NW 194TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-3556
Mailing Address - Country:US
Mailing Address - Phone:786-288-9478
Mailing Address - Fax:
Practice Address - Street 1:3901 W COURT ST
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-2776
Practice Address - Country:US
Practice Address - Phone:866-904-7721
Practice Address - Fax:509-248-3644
Is Sole Proprietor?:No
Enumeration Date:2021-07-11
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61403501363LF0000X
FL11004434363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2250439Medicaid
WAAP61403501OtherAP