Bateman, Renae Lyn

Bateman, Renae Lyn is an individual health care provider with primary practice located at 12455 E 100Th St N Ste 260 , Owasso OK 74055-4676. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bateman, Renae Lyn can be contacted via phone (417) 781-5387.

Contact Information

Primary practice address
12455 E 100Th St N Ste 260 Owasso OK 74055-4676
Phone: (417) 781-5387
Fax: (417) 781-7174
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2010008659 Missouri

Profile Details

NPI number 1952628307
LBN Legal business name Bateman, Renae Lyn
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2010
Last updated Apr 24th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952628307 NPPES
Kansas MEDICAID 200642440A
Kansas MEDICAID 1952628307
Kansas MEDICAID 200284530A

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