Provider Demographics
NPI:1831208347
Name:BATEMAN, DONNA (CNM)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:BATEMAN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6550
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88006
Mailing Address - Country:US
Mailing Address - Phone:505-556-8200
Mailing Address - Fax:505-556-8159
Practice Address - Street 1:390 CALLE DE ALEGRA
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005
Practice Address - Country:US
Practice Address - Phone:505-556-8200
Practice Address - Fax:505-556-8159
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCNM413176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMZ2366Medicaid
S67017Medicare UPIN
NMZ2366Medicaid