Individual
KIRSTEN BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC
Contact information
Practice address
2015 CRESCENT AVE, EAU CLAIRE, WI 54703-6015
(715) 563-6170
Mailing address
2015 CRESCENT AVE, EAU CLAIRE, WI 54703-6015
(715) 563-6170
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
219847
WI
363LF0000X
Family Nurse Practitioner
Primary
2024070795
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9439999195
—
WI
Enumeration date
11/05/2014
Last updated
04/19/2025
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