Healthcare Provider Details

I. General information

NPI: 1154817625
Provider Name (Legal Business Name): LATRINA BATES RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2018
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4509 FRERET ST
NEW ORLEANS LA
70115-6316
US

IV. Provider business mailing address

4509 FRERET ST
NEW ORLEANS LA
70115-6316
US

V. Phone/Fax

Practice location:
  • Phone: 504-891-8088
  • Fax:
Mailing address:
  • Phone: 504-891-8088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: