Individual
DIANE ELIZABETH BATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
9449 IMPERIAL HWY STE 332, DOWNEY, CA 90242-2888
(626) 572-9385
(562) 657-2977
Mailing address
9449 IMPERIAL HWY STE 332, DOWNEY, CA 90242-2888
(562) 657-2938
(562) 657-2977
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP95008821
CA
Other
Enumeration date
05/10/2018
Last updated
12/27/2024
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