Provider Demographics
NPI:1992300065
Name:SATTERFIELD-NUTTER, CORY
Entity type:Individual
Prefix:
First Name:CORY
Middle Name:
Last Name:SATTERFIELD-NUTTER
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 1:3829 TOMBLESON RUN RD
Mailing Address - Street 2:
Mailing Address - City:LETART
Mailing Address - State:WV
Mailing Address - Zip Code:25253
Mailing Address - Country:US
Mailing Address - Phone:304-593-1428
Mailing Address - Fax:
Practice Address - Street 1:3829 TOMBLESON RUN RD
Practice Address - Street 2:
Practice Address - City:LETART
Practice Address - State:WV
Practice Address - Zip Code:25253
Practice Address - Country:US
Practice Address - Phone:304-593-1428
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant