Whalio Doctors

NPI 1063008829

Todd Bates, PMHNP

Practitioner Psychiatric/Mental Health Clinical Nurse Specialist Idaho Falls, ID

Practice location

Address
10478 S. 1st E, Idaho Falls, ID 83404
Phone
(208) 521-4613

Registered specialties

Psychiatric/Mental Health Clinical Nurse Specialist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0808X Licence 66494 (ID)

Registry record

NPI
1063008829
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Dec 2020
Record last updated
16 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.