Provider Demographics
NPI:1336432335
Name:BATES, JULIE PIANO (RN)
Entity Type:Individual
Prefix:MISS
First Name:JULIE
Middle Name:PIANO
Last Name:BATES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6520 COLLINSDALE ROAD
Mailing Address - Street 2:L
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234
Mailing Address - Country:US
Mailing Address - Phone:443-986-3821
Mailing Address - Fax:
Practice Address - Street 1:6605 COLLINSDALE RD
Practice Address - Street 2:L
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-6552
Practice Address - Country:US
Practice Address - Phone:443-986-3821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-24
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR118217163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse