Individual
ALICIA KAY BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1100 MERCER AVE, DECATUR, IN 46733-2303
(260) 724-2145
(260) 724-2145
Mailing address
955 HIGH ST, STE 2, DECATUR, IN 46733-2326
(260) 724-8700
(260) 728-3821
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001926A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000373877
ANTHEM
IN
05
—
200530800
—
IN
Enumeration date
01/18/2006
Last updated
07/21/2022
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