Individual provider · Type 1 NPI
Shatoria Bates
Psychiatric/Mental Health Nurse Practitioner · Port Huron, MI
NPI number
1821977307
Active
Practice location
3111 Electric Ave
Port Huron, MI 48060-8127
Mailing address
36514 Farmbrook Dr
Clinton Township, MI 48035-1517
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 4704364638 (MI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1821977307
Shatoria Bates's National Provider Identifier is 1821977307, issued on Aug 29, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Port Huron, MI. The record was last updated on Oct 16, 2026.