Provider Demographics
NPI:1043650260
Name:BATES, BRITTANY A (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:A
Last Name:BATES
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:A
Other - Last Name:COLEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:5151 MONROE ST STE 210B
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-3468
Mailing Address - Country:US
Mailing Address - Phone:419-503-5833
Mailing Address - Fax:
Practice Address - Street 1:5151 MONROE ST STE 210B
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-3468
Practice Address - Country:US
Practice Address - Phone:419-503-5833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-02
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN347194163WC0200X
374U00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty