Physician Compare National (NPI:1154623965)

HEALTHCARE PROVIDER: ARNETTE OLIVIA TATES DNP, MSN, CRNP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1154623965
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9234319328
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180326002422
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TATES
	Individual professional last name
Provider First Name	ARNETTE
	Individual professional first name
Provider Middle Name	OLIVIA
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2013
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	10 CROSSROADS DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 110
	Group Practice or individual's line 2 address
City	OWINGS MILLS
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	211175463
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y