Organization
TATES HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARNETTE OLIVIA TATES DNP, MSN, CRNP (NURSE PRACTITIONER)
(410) 301-2081
Entity
Organization
Contact information
Practice address
7303 BEECH AVE, BALTIMORE, MD 21206
(410) 301-2081
Mailing address
7303 BEECH AVE, BALTIMORE, MD 21206
(410) 301-2081
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004796
—
NC
Enumeration date
08/02/2019
Last updated
08/02/2019
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