Healthcare Provider Details
I. General information
NPI: 1912979774
Provider Name (Legal Business Name): DEE ANNE BATES MSN, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/06/2006
Last Update Date: 04/22/2020
Certification Date: 04/22/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
58 E MAIN RD
MIDDLETOWN RI
02842-4988
US
IV. Provider business mailing address
64 LEGEND ROCK RD
WAKEFIELD RI
02879-2071
US
V. Phone/Fax
- Phone: 401-608-3322
- Fax: 401-608-3323
- Phone: 401-374-5054
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | NPP18591 |
| License Number State | RI |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | RN130483 |
| License Number State | MA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | APRN00076 |
| License Number State | RI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: