Provider Demographics
NPI:1952180721
Name:BATES, KAREN BETH (FNP-C)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:BETH
Last Name:BATES
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:BETH
Other - Last Name:SHOEMAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:205 GATOR DR
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27530-9357
Mailing Address - Country:US
Mailing Address - Phone:919-223-1772
Mailing Address - Fax:
Practice Address - Street 1:3528 ADIRONDACK WAY STE 120
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-0166
Practice Address - Country:US
Practice Address - Phone:910-398-0017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-21
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5018868363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily