Provider Demographics
NPI:1770844060
Name:BATISTA, AMY MELISSA (NP)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:MELISSA
Last Name:BATISTA
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:120 SPALDING DR
Mailing Address - Street 2:SUITE 308
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-6508
Mailing Address - Country:US
Mailing Address - Phone:630-527-7730
Mailing Address - Fax:630-527-7732
Practice Address - Street 1:120 SPALDING DR
Practice Address - Street 2:SUITE 308
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6508
Practice Address - Country:US
Practice Address - Phone:630-527-7730
Practice Address - Fax:630-527-7732
Is Sole Proprietor?:No
Enumeration Date:2012-06-03
Last Update Date:2015-10-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL209.013049363LA2200X
MO2012016691363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner