Vail Shanae Batty, RN
Individual provider Active NPI Diabetes Educator Registered Nurse · Roosevelt, UT
NPI 1578030037 · NPPES record last updated Nov 1, 2018
Key facts
- NPI
- 1578030037
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diabetes Educator Registered Nurse 163WD0400X
- License
- 9570883-3102 (UT)
- Practice address
- 210 W 300 N
Roosevelt, UT 84066-2336 - Phone
- (435) 722-6130
- NPI assigned
- Nov 1, 2018
- 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 |
|---|---|---|---|
| 9570883-3102 | UT | MD | Diabetes Educator Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 9570883-3102 | UT | Yes |
Addresses
Primary practice location
210 W 300 N
Roosevelt, UT 84066-2336
Mailing address
210 W 300 N
Roosevelt, UT 84066-2336
Phone (435) 722-6130
Other providers in Roosevelt, UT
- Bonnie J Barnes
- Basin Family Dental LLC
- Basin Family Dentistry, PC
- Basin Family Pharmacy
- Basin Therapy LLC
- Kerry Robert Baum Jr.
- Garrison Douglas Beach
- Jason S Beales
- Trent Bell
- Patricia S Bennett
All providers in Roosevelt, UT · Diabetes Educator 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 Nov 1, 2018. 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.