Caroline Ann Bates

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Manchester, NH

NPI 1104479948 · NPPES record last updated Aug 4, 2025

Key facts

NPI
1104479948
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1260 Elm St
Manchester, NH 03101-1305
Phone
(603) 314-1701
NPI assigned
Jul 22, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1260 Elm St
Manchester, NH 03101-1305

Mailing address

1260 Elm St
Manchester, NH 03101-1305
Phone (603) 314-1701

Other providers in Manchester, NH

All providers in Manchester, NH · Student in an Organized Health Care Education/Training Program in New Hampshire

Sources for this page

Verify at the official NPI Registry.