Angela Marie Ballard

NPI 1033117478 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1033117478
Gender Female
Enumeration Date 07/11/2005
Last Updated 01/21/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
201 S 5TH ST
BARDSTOWN KY, 40004-1142, US
Phone (502) 348-5968
Fax (502) 349-0963
Business Location
201 S 5TH ST
BARDSTOWN KY, 40004-1142, US
Phone (502) 348-5968
Fax (502) 349-0963
Toxanomy
Taxonomy Code 363L00000X
License State Kentucky
License Number 2356P
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According to our database, Angela Marie Ballard NPI is 1033117478, taxonomy code is 363L00000X and license number is 2356P, license state is located at Kentucky. Angela Marie Ballard physically located at 201 S 5th St, Bardstown KY, 40004-1142. NPI Number Angela Marie Ballard has the Individual type.

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1033117478 NPI number is provided on an as is basis without warranty of any kind. 1033117478 is maintained by the National Plan & Provider Enumeration System. The contents of Angela Marie Ballard are for informational purposes only.