Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Matthew Bates, MATTHEWBATES

Individual provider Registered Nurse · NPI 1477808988

Mr. Matthew Bates, MATTHEWBATES is a Registered Nurse in Shawnee, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2012
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Practice location Address checks out

4101 N Pottenger Ave
Shawnee, OK 74804-1262
Phone: (719) 352-7058
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Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 105858 (OK)

Record details

NPI number1477808988
Entity typeIndividual (Type 1)
GenderMale
Credentials MATTHEWBATES
Sole proprietorYes
NPI enumeratedJuly 20, 2012
Last updated in NPPESJuly 20, 2012
Mailing address4101 N Pottenger Ave, Shawnee, OK 74804-1262

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