Stephanie Anne Ball, BSN-RN, WCC, OMS

Individual provider Active NPI Wound Care Registered Nurse · Milford, ME

NPI 1013634716 · NPPES record last updated Oct 24, 2022

Key facts

NPI
1013634716
Entity type
Individual (NPI type 1)
Primary specialty
Wound Care Registered Nurse 163WW0000X
License
RN66715 (ME)
Practice address
120 Bradley Rd
Milford, ME 04461-3619
Phone
(207) 551-6553
NPI assigned
Oct 24, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN66715MEMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X RN66715 ME Yes
Registered Nurse 163W00000X RN66715 ME
Gerontology Registered Nurse
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
163WG0600X RN66715 ME
Ostomy Care Registered Nurse 163WX1500X RN66715 ME

Addresses

Primary practice location

120 Bradley Rd
Milford, ME 04461-3619

Mailing address

120 Bradley Rd
Milford, ME 04461-3619
Phone (207) 551-6553

Other providers in Milford, ME

All providers in Milford, ME · Wound Care Registered Nurse in Maine

Sources for this page

Verify at the official NPI Registry.