Doctor Name: | CYNTHIA ANN BATES |
NPI Number: | 1417332156 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | APN.0991859-NP |
Business Practice Address: | 1115 2nd St Fort Lupton, CO - 806211745 |
Business Phone Number: | 3038572771 |
Business Fax Number: | 7203229411 |
Mailing Address: | 203 S Rollie Ave, FORT LUPTON |
State: | CO |
Postal Code: | 806211508 |
Phone Number: | 3032864560 |
Fax Number: | 3032864589 |
NPI Enumeration Date: | 07/23/2015 |
NPI Last Update Date: | 08/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APN.0991859-NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |