Provider Demographics
NPI:1083753693
Name:BATTERMAN, MICHELLE L (PA)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:L
Last Name:BATTERMAN
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:2207 OSBORNE DR W
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-9111
Mailing Address - Country:US
Mailing Address - Phone:402-462-2139
Mailing Address - Fax:402-462-2381
Practice Address - Street 1:2207 OSBORNE DR W
Practice Address - Street 2:SUITE 100
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-9111
Practice Address - Country:US
Practice Address - Phone:402-462-2139
Practice Address - Fax:402-462-2381
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2008-10-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE1300363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant