Provider Demographics
NPI:1750745592
Name:BATEMAN, ANNA LORENE
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:LORENE
Last Name:BATEMAN
Suffix:
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 1:3405 SORENSEN RD
Mailing Address - Street 2:
Mailing Address - City:FALLON
Mailing Address - State:NV
Mailing Address - Zip Code:89406-9251
Mailing Address - Country:US
Mailing Address - Phone:775-867-3087
Mailing Address - Fax:775-423-8960
Practice Address - Street 1:3405 SORENSEN RD
Practice Address - Street 2:
Practice Address - City:FALLON
Practice Address - State:NV
Practice Address - Zip Code:89406-9251
Practice Address - Country:US
Practice Address - Phone:775-867-3087
Practice Address - Fax:775-423-8960
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-07
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator