Provider Demographics
NPI:1649420043
Name:BATT, MICHELE ANN III
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:ANN
Last Name:BATT
Suffix:III
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3008 GAINES RD
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:NY
Mailing Address - Zip Code:14411-9027
Mailing Address - Country:US
Mailing Address - Phone:585-589-7372
Mailing Address - Fax:
Practice Address - Street 1:3008 GAINES RD
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:NY
Practice Address - Zip Code:14411-9027
Practice Address - Country:US
Practice Address - Phone:585-589-7372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY131368-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse