Individual
EVANGELEINE HELENE BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
111 S MARION ST STE B, ATHENS, AL 35611-2552
(256) 230-5280
Mailing address
180 N DABNEY LN, ROGERSVILLE, AL 35652-6205
(916) 549-1965
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1-140136
AL
363LF0000X
Family Nurse Practitioner
Primary
1-140136
AL
Other
Enumeration date
06/20/2016
Last updated
01/09/2024
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