Basic Information
| Provider Information | |||||||||
| NPI: | 1023144508 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BATEMAN | ||||||||
| FirstName: | EDITH | ||||||||
| MiddleName: | SABRINA | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | L.V.N. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2379 FLORIDA LN # B | ||||||||
| Address2: | |||||||||
| City: | DURHAM | ||||||||
| State: | CA | ||||||||
| PostalCode: | 959389622 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5303453948 | ||||||||
| FaxNumber: | 5308956548 | ||||||||
| Practice Location | |||||||||
| Address1: | 592 RIO LINDO AVE | ||||||||
| Address2: | |||||||||
| City: | CHICO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 959261817 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5308912999 | ||||||||
| FaxNumber: | 5308956548 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/26/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 164X00000X | VN216659 | CA | Y | Nursing Service Providers | Licensed Vocational Nurse |
No ID Information.