Healthcare Provider Details

I. General information

NPI: 1043650260
Provider Name (Legal Business Name): BRITTANY A BATES REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRITTANY A COLEMAN REGISTERED NURSE

II. Dates (important events)

Enumeration Date: 07/02/2013
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 MAIN ST
VILLA RICA GA
30180-1931
US

IV. Provider business mailing address

5151 MONROE ST STE 210B
TOLEDO OH
43623-3468
US

V. Phone/Fax

Practice location:
  • Phone: 770-462-1170
  • Fax:
Mailing address:
  • Phone: 419-503-5833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP200086
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0043154
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN347194
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: