Individual
MS. RENAE LYN BATEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
12455 E 100TH ST N STE 260, OWASSO, OK 74055-4676
(417) 781-5387
(417) 781-7174
Mailing address
12455 E 100TH ST N STE 260, OWASSO, OK 74055-4676
(918) 274-5560
(918) 403-6336
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2010008659
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952628307
—
MO
05
—
200284530A
—
OK
05
—
200642440A
—
KS
Enumeration date
04/26/2010
Last updated
04/24/2024
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