Sarah J Bates, LPN

Individual provider Active NPI Licensed Practical Nurse · Caldwell, OH

NPI 1104289362 · NPPES record last updated Apr 4, 2016

Key facts

NPI
1104289362
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN 124120 MEDS (OH)
Practice address
44020 Marietta Rd
Caldwell, OH 43724-9124
Phone
(740) 732-5233
Fax
(740) 588-6452
NPI assigned
Apr 4, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PN 124120 MEDSOHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN 124120 MEDS OH Yes

Addresses

Primary practice location

44020 Marietta Rd
Caldwell, OH 43724-9124

Mailing address

2845 Bell St
Zanesville, OH 43701-1720
Phone (740) 454-9766

Other providers in Caldwell, OH

All providers in Caldwell, OH · Licensed Practical Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.