Individual provider · Type 1 NPI
Susan Flanigan Bates, FNP
Family Nurse Practitioner · Bridgeport, CA
NPI number
1043383508
Active
Practice location
Mcmwtc Bldg 3005, HC 83 Box 1
Bridgeport, CA 93517
Mailing address
663 Saddleback Dr
Pagosa Springs, CO 81147-7732
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 658016 (TX) |
Family Nurse Practitioner: Definition to come...
About NPI 1043383508
Susan Flanigan Bates, FNP's National Provider Identifier is 1043383508, issued on Nov 15, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bridgeport, CA. The record was last updated on Jul 8, 2007.