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General NPI Number Information
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NPI Number | 1841367240
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Entity Type | Individual
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Provider Name | ANDREA R. BATES M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 03/19/2015
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Provider Practice Location Address
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Address Line | 502 S WILLIS ST
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City | VISALIA
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State | CA
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Zip | 93277-2526
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Country | US
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Telephone | 916-208-6056
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 582156
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City | ELK GROVE
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State | CA
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Zip | 95758-0036
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Country | US
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Telephone | 916-208-6056
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G71770
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License Number State | CA
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