Individual
ALICIA AUGUSTINE BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
(225) 761-5586
Mailing address
2500 N STATE ST, DIVISION OF CARDIOLOGY, JACKSON, MS 39216-4500
(601) 984-5678
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP08060
LA
363LF0000X
Family Nurse Practitioner
R885839
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01727036
—
MS
05
—
2379585
—
LA
Enumeration date
01/25/2013
Last updated
04/14/2016
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