Provider Demographics
NPI:1821876731
Name:BATES, ABIGAIL BLAINE (APRN, CNP)
Entity Type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:BLAINE
Last Name:BATES
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 LONE STAR LN
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-0005
Mailing Address - Country:US
Mailing Address - Phone:440-453-5588
Mailing Address - Fax:
Practice Address - Street 1:860 BETHESDA DR STE 2
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-1800
Practice Address - Country:US
Practice Address - Phone:740-586-6690
Practice Address - Fax:740-252-5162
Is Sole Proprietor?:No
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0034901363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily