Individual provider · Type 1 NPI

Elisabeth Bates, MSN, RN, CPNP-PC

Pediatric Nurse Practitioner · New York, NY

NPI number 1821606963 Active

Practice location

180 Fort Washington Ave
New York, NY 10032-3722

Mailing address

1818 Cornelia St Unit 1
Ridgewood, NY 11385-4918

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X383079 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1821606963

Elisabeth Bates, MSN, RN, CPNP-PC's National Provider Identifier is 1821606963, issued on Jul 15, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New York, NY. The record was last updated on Mar 6, 2025.