Individual provider · Type 1 NPI
Krystalyn Rose Bates, DO
Addiction Medicine (Preventive Medicine) Physician · Meriden, CT
NPI number
1053972695
Active
Practice location
883 Paddock Ave
Meriden, CT 06450-7044
Mailing address
800 Atlantic Ave Apt 1
Long Beach, CA 90813-4580
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Addiction Medicine (Preventive Medicine) Physician Primary | 2083A0300X | 73263 (CT) |
Addiction Medicine (Preventive Medicine) Physician: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
69 other providers at this address
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- Amanda L. Chase, APRNPsychiatric/Mental Health Nurse Practitioner Meriden, CT NPI 1134957624
- Amber R. Johnson, APRNPsychiatric/Mental Health Nurse Practitioner Meriden, CT NPI 1679158075
- Amber Ryan, LPNLicensed Practical Nurse Meriden, CT NPI 1932566270
- Amy CruzClinical Social Worker Meriden, CT NPI 1669022471
- Amy Finkenstein, LCSWClinical Social Worker Meriden, CT NPI 1366721854
- Amy Lynn Warzecha, LCSWClinical Social Worker Meriden, CT NPI 1386284040
- April LangeClinical Social Worker Meriden, CT NPI 1003205816
- Candace O'Brien, APRNPsychiatric/Mental Health Nurse Practitioner Meriden, CT NPI 1841437357
- Casey M. Simoncelli, LCSWClinical Social Worker Meriden, CT NPI 1174268098
- Catherine Conway, LCSWClinical Social Worker Meriden, CT NPI 1770656282
About NPI 1053972695
Krystalyn Rose Bates, DO's National Provider Identifier is 1053972695, issued on Jun 25, 2019. The primary taxonomy on file is Addiction Medicine (Preventive Medicine) Physician (2083A0300X), and the practice location is in Meriden, CT. The record was last updated on May 19, 2023.