Provider Demographics
NPI:1598849952
Name:BATEMAN, CATHY B (NP)
Entity Type:Individual
Prefix:MS
First Name:CATHY
Middle Name:B
Last Name:BATEMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CATHY
Other - Middle Name:M
Other - Last Name:BOZE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 758997
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21275-8997
Mailing Address - Country:US
Mailing Address - Phone:804-281-0626
Mailing Address - Fax:804-662-7302
Practice Address - Street 1:1250 E MARSHALL ST
Practice Address - Street 2:INTERNAL MEDICINE
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5051
Practice Address - Country:US
Practice Address - Phone:804-828-4624
Practice Address - Fax:804-828-3983
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024164692363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAP89637Medicare UPIN
VA001680M84Medicare ID - Type UnspecifiedC03684