Provider Demographics
NPI:1629688494
Name:BATES, ASHLEE LANE (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:MISS
First Name:ASHLEE
Middle Name:LANE
Last Name:BATES
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 BEARDSLEY LN STE 200
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-4945
Mailing Address - Country:US
Mailing Address - Phone:512-444-1414
Mailing Address - Fax:512-579-2720
Practice Address - Street 1:300 BEARDSLEY LN STE 200
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-4945
Practice Address - Country:US
Practice Address - Phone:512-444-1414
Practice Address - Fax:512-579-2720
Is Sole Proprietor?:No
Enumeration Date:2020-08-05
Last Update Date:2021-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1008004363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily