Healthcare Provider Details

I. General information

NPI: 1508571175
Provider Name (Legal Business Name): ANNA MARIA BATSAKES NBC-HWC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2023
Last Update Date: 06/22/2025
Certification Date: 06/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 SELKIRK ST
DURHAM NC
27707-3960
US

IV. Provider business mailing address

209 SELKIRK ST
DURHAM NC
27707-3960
US

V. Phone/Fax

Practice location:
  • Phone: 916-956-9482
  • Fax:
Mailing address:
  • Phone: 916-956-9482
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License NumberA-3670405
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: