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WADE BATEMAN

>> Nurse Anesthetist, Certified Registered >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1609227826

Individual Registrant:
 WADE  BATEMAN 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
2056 ALFRED BLVD  NAVARRE, FL 32566-7349 US
Tel: 801-759-7825  Fax: --

Contact information for business:
2056 ALFRED BLVD  NAVARRE, FL 32566-7349 US
Tel: 801-759-7825  Fax: --

Registration Information:
NPI: 1609227826
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N367500000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Anesthetist, Certified Registered
NY758091
Y364SA2100XPhysician Assistants & Advanced Practice Nursing Providers
Clinical Nurse Specialist
UT6703908-3102

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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