Bates, Natasha

Bates, Natasha is an individual health care provider with primary practice located at 24B Professional Park Dr , Maryville IL 62062-5856. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Bates, Natasha can be contacted via phone (618) 310-0085.

Contact Information

Primary practice address
24B Professional Park Dr Maryville IL 62062-5856
Phone: (618) 310-0085
Fax: (618) 744-0677
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 2012004298 Missouri
Nursing Service Providers / Pediatrics 163WP0200X 041473077 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209024690 Illinois

Profile Details

NPI number 1508538091
LBN Legal business name Bates, Natasha
Credentials APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2021
Last updated Feb 25th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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