Provider Demographics
NPI:1043630528
Name:BATTON, AARON ROSE (PA-C)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:ROSE
Last Name:BATTON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:AARON
Other - Middle Name:ROSE
Other - Last Name:RUSSELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA-C
Mailing Address - Street 1:4025 HIGHWAY 66 WEST
Mailing Address - Street 2:
Mailing Address - City:EL RENO
Mailing Address - State:OK
Mailing Address - Zip Code:73036-1000
Mailing Address - Country:US
Mailing Address - Phone:405-262-4875
Mailing Address - Fax:
Practice Address - Street 1:4025 HIGHWAY 66 WEST
Practice Address - Street 2:
Practice Address - City:EL RENO
Practice Address - State:OK
Practice Address - Zip Code:73036
Practice Address - Country:US
Practice Address - Phone:405-262-4875
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-23
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2245363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant