Individual
TYLER BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1945 NEWARK GRANVILLE RD, GRANVILLE, OH 43023-9169
(614) 627-0278
Mailing address
1945 NEWARK GRANVILLE RD, GRANVILLE, OH 43023-9169
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0036047
OH
363LP2300X
Primary Care Nurse Practitioner
95023282
CA
Other
Enumeration date
11/21/2022
Last updated
09/23/2024
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