Doctor Name: | LAURA A BATEMAN |
NPI Number: | 1639221633 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | UP000972B |
Business Practice Address: | 1 Morrow Way Student Health Center Slippery Rock, PA - 160571383 |
Business Phone Number: | 7247382052 |
Business Fax Number: | 7247382078 |
Mailing Address: | 1 Morrow Way, Student Health Center SLIPPERY ROCK |
State: | PA |
Postal Code: | 160571383 |
Phone Number: | 7247382052 |
Fax Number: | 7247382078 |
NPI Enumeration Date: | 01/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | UP000972B |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |