Provider Demographics
NPI:1891373817
Name:BATES, REEDA PAT (BSN (RN))
Entity Type:Individual
Prefix:MS
First Name:REEDA
Middle Name:PAT
Last Name:BATES
Suffix:
Gender:F
Credentials:BSN (RN)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 FOX LANE
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:TN
Mailing Address - Zip Code:38372-7141
Mailing Address - Country:US
Mailing Address - Phone:205-807-3022
Mailing Address - Fax:
Practice Address - Street 1:150 FOX LANE
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:TN
Practice Address - Zip Code:38372
Practice Address - Country:US
Practice Address - Phone:205-807-3022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-31
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN167794163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse