Todd Bates, PMHNP Valid NPI
Individual provider · Psychiatric/Mental Health Clinical Nurse Specialist · Idaho Falls, ID
- NPI
- 1063008829
- Type
- Individual (Type 1)
- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist (Clinical Nurse Specialist)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 364SP0808X
- License number
- 66494 (ID)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2020-12-16
- Last updated
- 2020-12-16
Practice location
10478 S. 1st E
Idaho Falls, ID 83404
(208) 521-4613