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Individual

MRS. SUSAN L BATEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1 TAMPA GENERAL CIR # G417, TAMPA, FL 33606-3571
(813) 844-7968
(813) 844-4049
Mailing address
1 TAMPA GENERAL CIR # G417, TAMPA, FL 33606-3571
(813) 844-7968
(813) 844-4049

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
9208608
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004390000
FL
01
Y09KB
BLUE CROSS BLUE SHIELD
Enumeration date
09/27/2011
Last updated
07/27/2012
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