Healthcare Provider Details

I. General information

NPI: 1972632792
Provider Name (Legal Business Name): CHERYL LYNN BATES RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1333 IRIS AVE
BOULDER CO
80304-2226
US

IV. Provider business mailing address

1333 IRIS AVE
BOULDER CO
80304-2226
US

V. Phone/Fax

Practice location:
  • Phone: 303-443-8500
  • Fax: 303-443-7428
Mailing address:
  • Phone: 303-443-8500
  • Fax: 303-443-7428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number62013
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: