Miriam L. Bateman, R.N.
Individual provider Active NPI Community Health Registered Nurse · Tooele, UT
NPI 1326239476 · NPPES record last updated Aug 5, 2007
Key facts
- NPI
- 1326239476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- 203457-3102 (UT)
- Practice address
- 151 N Main St
Community Health
Tooele, UT 84074-2141 - Phone
- (435) 843-2310
- Fax
- (435) 843-2304
- NPI assigned
- Aug 5, 2007
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 203457-3102 | UT | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 203457-3102 | UT | Yes |
Addresses
Primary practice location
151 N Main St
Community Health
Tooele, UT 84074-2141
Mailing address
151 N Main St
Community Health
Tooele, UT 84074-2141
Phone (435) 843-2310
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 998877663001 | Medicaid | UT |
Other providers in Tooele, UT
- Priscilla Jane Barker
- Steven Earl Barney
- Leigh Barrington
- Kris K Bartholomew
- Joshua Clark Bassett
- Beacon House LLC
- Beacon House LLC
- Beacon House LLC
- Michael Scott Bean
- Bear'S Ears Child and Family Therapy LLC
All providers in Tooele, UT · Community Health Registered Nurse in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.