Provider Demographics
NPI:1447247184
Name:BATES, KAREN J (MSN,ARNP,GNP)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:J
Last Name:BATES
Suffix:
Gender:F
Credentials:MSN,ARNP,GNP
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:J
Other - Last Name:HAUGLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:705 8TH ST
Mailing Address - Street 2:
Mailing Address - City:STORY CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50248-1301
Mailing Address - Country:US
Mailing Address - Phone:515-733-5191
Mailing Address - Fax:515-733-5354
Practice Address - Street 1:705 8TH ST
Practice Address - Street 2:
Practice Address - City:STORY CITY
Practice Address - State:IA
Practice Address - Zip Code:50248-1301
Practice Address - Country:US
Practice Address - Phone:515-733-5191
Practice Address - Fax:515-733-5354
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAJ043569363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI15098Medicare ID - Type Unspecified
IAS72175Medicare UPIN