=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740184605
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BATIN HOLDINGS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/05/2026
-----------------------------------------------------
Last Update Date | 10/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1543 N SIERRA HEIGHTS CIR
-----------------------------------------------------
City | MESA
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85207-4258
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-319-9930
-----------------------------------------------------
Fax | 888-289-9386
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1543 N SIERRA HEIGHTS CIR
-----------------------------------------------------
City | MESA
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85207-4258
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-319-9930
-----------------------------------------------------
Fax | 888-289-9386
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | PRISCILLA WILSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 480-319-9930
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------