Provider Demographics
NPI:1912979774
Name:BATES, DEE ANNE (MSN, APRN)
Entity Type:Individual
Prefix:MS
First Name:DEE
Middle Name:ANNE
Last Name:BATES
Suffix:
Gender:F
Credentials:MSN, APRN
Other - Prefix:MS
Other - First Name:DORIS
Other - Middle Name:ANNE
Other - Last Name:RAPOSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN
Mailing Address - Street 1:64 LEGEND ROCK RD
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02879-2071
Mailing Address - Country:US
Mailing Address - Phone:401-374-5054
Mailing Address - Fax:
Practice Address - Street 1:58 E MAIN RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-4988
Practice Address - Country:US
Practice Address - Phone:401-608-3322
Practice Address - Fax:401-608-3323
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RINPP18591363LF0000X
MARN130483363LF0000X
RIAPRN00076363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
363LF0000XOtherFAMILY PRACTICE TAXONOMY
RIAPRN00076OtherSTATE LICENSE
363LF0000XOtherFAMILY PRACTICE TAXONOMY