Andrea Van Dyke Bateman, RN
Individual provider Active NPI Registered Nurse · Marion, IN
NPI 1497524276 · NPPES record last updated Dec 21, 2023
Key facts
- NPI
- 1497524276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 28200336A (IN)
- Practice address
- 1700 E 38TH St
Marion, IN 46953-4568 - Phone
- (765) 674-3321
- NPI assigned
- Dec 21, 2023
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28200336A | IN | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 28200336A | IN | |
| Registered Nurse | 163W00000X | 28200336A | IN | Yes |
Addresses
Primary practice location
1700 E 38TH St
Marion, IN 46953-4568
Mailing address
21238 Carlton CT
Noblesville, IN 46062-8001
Phone (317) 501-8426
Other names
- Andee V Bateman
Other providers in Marion, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2023. 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.