Individual
MRS. MARY ELISABETH BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
1628 S MILDRED ST, #104, TACOMA, WA 98465-1628
(253) 565-6777
(253) 565-8777
Mailing address
1708 YAKIMA AVE STE 205, TACOMA, WA 98405-5300
(253) 565-5307
(360) 782-3040
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30004223
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0255610
STATE L&I
WA
05
—
1021792
—
WA
Enumeration date
03/09/2006
Last updated
12/01/2020
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