Vincen M Bateman, CRNA
Nurse Anesthetist, Certified Registered in Idaho Falls, ID. Individual provider (NPI-1).
NPI number1235168774
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1235168774
- Entity type
- Individual (NPI-1)
- Name
- Vincen M Bateman
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | N-25978 | ID | Yes |
Practice location
3100 Channing WayIdaho Falls, ID 83404-7533
Phone 208-529-6269
Mailing address
255 W Michigan AveJackson, MI 49201-2218
Phone 866-570-0077 · Fax 248-479-0652
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