Healthcare Provider Details

I. General information

NPI: 1124789888
Provider Name (Legal Business Name): ARETHA BATES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2022
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

336 NEVERLAND DR
MIDDLETOWN DE
19709-9947
US

IV. Provider business mailing address

336 NEVERLAND DR
MIDDLETOWN DE
19709-9947
US

V. Phone/Fax

Practice location:
  • Phone: 267-608-9437
  • Fax:
Mailing address:
  • Phone: 267-608-9437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF0826119
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberL1-0055885
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: