Provider Demographics
NPI:1295117034
Name:BATAYOLA, AIRES BESANA
Entity type:Individual
Prefix:MRS
First Name:AIRES
Middle Name:BESANA
Last Name:BATAYOLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2604 BAL HARBOR LN
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94545-3402
Mailing Address - Country:US
Mailing Address - Phone:510-861-8498
Mailing Address - Fax:
Practice Address - Street 1:2604 BAL HARBOR LN
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-3402
Practice Address - Country:US
Practice Address - Phone:510-861-8498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-28
Last Update Date:2015-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA773466163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse