NPI 1992394415 · live from the CMS NPI Registry
Kyle Bateman
Registered Nurse, General Practice in Edgewater, MD. National Provider Identifier 1992394415, active.
NPI record
| NPI | 1992394415 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 203 Night Haven Ct, Edgewater, MD 21037 |
| Practice phone | 228-257-1702 |
| Enumerated | January 11, 2021 |
| Last updated | January 11, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice primary | 163WG0000X | R217314 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.