MEDICARE: LESLEY BATES CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	176B00000X	Midwife	MW010472	PA
2	163W00000X	Registered Nurse	RN632465	PA

General Provider Information

NPI Number	:	1740709062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLEY BATES CNM

Provider Business Mailing Address
First Line	:	800 WALNUT ST FL 14
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-5176
Country	:	US
Telephone Number	:	215-829-8000
Fax Number	:	215-829-8623

Provider Business Practice Location Address
First Line	:	800 WALNUT ST FL 14
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-5176
Country	:	US
Telephone Number	:	215-829-8000
Fax Number	:	215-829-8623

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2017
Last Update Date	:	03/17/2026

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