Melissa Bates, RN

Individual provider Active NPI Registered Nurse · Martinsburg, WV

NPI 1194129957 · NPPES record last updated Oct 22, 2014

Key facts

NPI
1194129957
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
49240 (WV)
Practice address
401 South Queen Street
Berkeley County Board of Education
Martinsburg, WV 25401
Phone
(304) 267-3595
Fax
(304) 267-3599
NPI assigned
Oct 22, 2014
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
49240WVMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 49240 WV Yes

Addresses

Primary practice location

401 South Queen Street
Berkeley County Board of Education
Martinsburg, WV 25401

Mailing address

401 South Queen Street
Berkeley County Board of Education
Martinsburg, WV 25401
Phone (304) 267-3595

Other providers in Martinsburg, WV

All providers in Martinsburg, WV · Registered Nurse in West Virginia

Sources for this page

Verify at the official NPI Registry.