Wellformed AI

NPI 1255442869 · live from the CMS NPI Registry

Susan L. Bates, RN, CDE

Registered Nurse, Diabetes Educator in Ballston Lake, NY. National Provider Identifier 1255442869, active.

NPI record

NPI1255442869 Type 1 · individual
StatusActive
Primary specialtyRegistered Nurse, Diabetes Educator 163WD0400X
Practice location112 Charlton Road, Ballston Lake, NY 12019
Practice phone518-399-7723
EnumeratedAugust 31, 2006
Last updatedApril 28, 2010
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Registered Nurse, Diabetes Educator primary163WD0400X427188 (NY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.