Amanda Faye Ballard
Individual provider Active NPI Surgical Technologist · Gallup, NM
NPI 1013593607 · NPPES record last updated Mar 23, 2021
Key facts
- NPI
- 1013593607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Technologist 246ZS0410X
- Practice address
- 516 E Nizhoni Blvd
Gallup, NM 87301-5748 - Phone
- (505) 722-1000
- NPI assigned
- Mar 23, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | Yes |
Addresses
Primary practice location
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Mailing address
1004 8TH St
Las Vegas, NM 87701-4216
Other providers in Gallup, NM
- Helena Rae Baker
- Sanaa Baker
- Eric Balababa
- Christopher Cody Baldonado
- Walter Ernest Balfour
- Joseph Ballow
- Fred Owusu Bamfo
- Mary Elizabeth Bange
- Claire Lyn Banks
- Princess Baoya
All providers in Gallup, NM · Surgical Technologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.