Individual
GREGORY BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP
Contact information
Practice address
193 MAIN ST, NORWAY, ME 04268-5645
(207) 743-9292
(207) 743-1578
Mailing address
144 WOODFIELD RD, PORTLAND, ME 04102-1864
(206) 992-4281
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP151066
ME
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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