Individual
HEATHER L. BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2465
(859) 301-4941
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 344-5555
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3017904
KY
363LF0000X
Family Nurse Practitioner
3017904
KY
Other
Enumeration date
06/20/2022
Last updated
08/14/2023
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