Individual
MS. GINA BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
520 E BETHANY HOME RD, PHOENIX, AZ 85012-1207
(602) 726-3301
(602) 654-3300
Mailing address
520 E BETHANY HOME RD, PHOENIX, AZ 85012-1207
(602) 726-3301
(602) 654-3300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
666472
TX
363LF0000X
Family Nurse Practitioner
Primary
AP7639
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8Y9719
BCBS ID
TX
Enumeration date
08/31/2006
Last updated
03/17/2021
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