Lisa Bates, R.N.
Individual provider Active NPI Registered Nurse · Pine Bluff, AR
NPI 1609204544 · NPPES record last updated Oct 30, 2013
Key facts
- NPI
- 1609204544
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R077639 (AR)
- Practice address
- 3450 W 34TH Ave
Pine Bluff, AR 71603-5508 - Phone
- (870) 534-6067
- Fax
- (870) 534-7392
- NPI assigned
- Oct 30, 2013
- 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 |
|---|---|---|---|
| R077639 | AR | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R077639 | AR | Yes |
Addresses
Primary practice location
3450 W 34TH Ave
Pine Bluff, AR 71603-5508
Mailing address
1 Childrens Way
Slot 512-39
Little Rock, AR 72202-3500
Phone (501) 526-8700
Other providers in Pine Bluff, AR
- Barry S McDonald PHD PA
- Mandy Bartlett
- Maaman Bashir
- Seyedeh Maryam Bashiri
- James Bass
- Melissa Battles
- Baugh Eyecare Associates, PA
- Jason A Baugh
- Tom G Baxley
- Janet Bean
All providers in Pine Bluff, AR · Registered Nurse in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2013. 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.