Individual
MS. HEATHER MARIE BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
321 LA LUZ DR, TAOS, NM 87571-6625
(888) 424-6855
(541) 287-9324
Mailing address
321 LA LUZ DR, TAOS, NM 87571-6625
(888) 424-6855
(541) 287-9324
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-75725
NM
225700000X
Massage Therapist
7085
NM
363LF0000X
Family Nurse Practitioner
Primary
CNP02752
NM
Other
Enumeration date
10/25/2012
Last updated
09/12/2025
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