Provider Demographics
NPI:1568024123
Name:BATEMAN, CHRISTINE (CRNP)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:BATEMAN
Suffix:
Gender:
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:784 BALTIMORE ANNAPOLIS BLVD
Mailing Address - Street 2:
Mailing Address - City:SEVERNA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:21146-4652
Mailing Address - Country:US
Mailing Address - Phone:443-534-8173
Mailing Address - Fax:
Practice Address - Street 1:1300 RITCHIE HWY STE A
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-2244
Practice Address - Country:US
Practice Address - Phone:443-510-4571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-03
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR197577363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily