IndividualActive
Amanda Bates
NPI 1174184394 · Licensed Practical Nurse · Monticello, AR
Provider details
- NPI number
- 1174184394
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- L050698 (AR)
Specialties & taxonomies
Nursing Service Providers
Practice location
936 Jordan Dr
Monticello, AR 71655-5728
Phone: (870) 460-0066
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 251970
Little Rock, AR 72225-1970
Registry dates
- Enumerated
- 2019-06-27
- Last updated
- 2019-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.