Individual provider · Type 1 NPI

Theresa Davis-Bates, FNP

Nurse Practitioner · Upland, CA

NPI number 1104367135 Active

Practice location

141 W Foothill Blvd
Upland, CA 91786-8705

Call (562) 367-6151 Map

Mailing address

12900 Park Plaza Dr Ste 150
Cerritos, CA 90703-9329

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95006327 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104367135

Theresa Davis-Bates, FNP's National Provider Identifier is 1104367135, issued on Mar 9, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Upland, CA. The record was last updated on Aug 26, 2019.