Basic Information
| Provider Information | |||||||||
| NPI: | 1851524532 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BATEMAN | ||||||||
| FirstName: | HEATHER | ||||||||
| MiddleName: | KEEDY | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RN, BSN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7856 WESTSIDE PARK DR | ||||||||
| Address2: | SUITE C | ||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 366958541 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2514450033 | ||||||||
| FaxNumber: | 2516338864 | ||||||||
| Practice Location | |||||||||
| Address1: | 7856 WESTSIDE PARK DR | ||||||||
| Address2: | SUITE C | ||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 366958541 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2514450033 | ||||||||
| FaxNumber: | 2516338864 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/28/2009 | ||||||||
| LastUpdateDate: | 08/31/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | R870894 | MS | N | Nursing Service Providers | Registered Nurse | 163WI0500X | R870894 | MS | N | Nursing Service Providers | Registered Nurse | Infusion Therapy | 163W00000X | RN 9253705 | FL | N | Nursing Service Providers | Registered Nurse | 163WI0500X | RN 9253705 | FL | N | Nursing Service Providers | Registered Nurse | Infusion Therapy | 163W00000X | 1-092062 | AL | Y | Nursing Service Providers | Registered Nurse | 163WI0500X | 1-092062 | AL | N | Nursing Service Providers | Registered Nurse | Infusion Therapy |
No ID Information.