Provider Demographics
NPI:1588420491
Name:SATZ, ADENA CATHERINE
Entity type:Individual
Prefix:
First Name:ADENA
Middle Name:CATHERINE
Last Name:SATZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11722 HENDERSON RD
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:VA
Mailing Address - Zip Code:20124-2205
Mailing Address - Country:US
Mailing Address - Phone:703-447-8323
Mailing Address - Fax:
Practice Address - Street 1:11722 HENDERSON RD
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:VA
Practice Address - Zip Code:20124-2205
Practice Address - Country:US
Practice Address - Phone:703-447-8323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001207749163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Single Specialty