Individual provider · Type 1 NPI

Timi Sue Bates

Licensed Practical Nurse · Henderson, NV

NPI number 1740150903 Active

Practice location

1536 N Boulder Hwy # 102
Henderson, NV 89011-4120

Fax (702) 558-8700

Mailing address

9157 Goose Lake Way Unit 102
Las Vegas, NV 89149-3193

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X882049 (NV)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1740150903

Timi Sue Bates's National Provider Identifier is 1740150903, issued on Nov 11, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Henderson, NV. The record was last updated on Nov 11, 2025.