Nancy A Ballard, LPN
Individual provider Active NPI Licensed Practical Nurse · Arcadia, FL
NPI 1083940449 · NPPES record last updated Jul 18, 2016
Key facts
- NPI
- 1083940449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN5180101 (FL)
- Practice address
- 34 S Baldwin Ave
Arcadia, FL 34266-3387 - Phone
- (863) 491-7580
- Fax
- (863) 491-7584
- NPI assigned
- Oct 20, 2009
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PN5180101 | FL | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN5180101 | FL | Yes |
Addresses
Primary practice location
34 S Baldwin Ave
Arcadia, FL 34266-3387
Mailing address
34 S Baldwin Ave
Arcadia, FL 34266-3387
Phone (863) 491-7580
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PN5180101 | Other | FL | LPN LICENSE |
Other providers in Arcadia, FL
- Jessica S Arnett
- Sandra I Arocho Rodriguez
- Gregory Arov
- Michael J. Bachop
- Hannah Grace Bair
- Raena Roshana Baptiste-Boles
- Ileana Bascuas
- Celia Pearl Bateman
- Cynthia Beardsley
- Codi Bechler
All providers in Arcadia, FL · Licensed Practical Nurse in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2016. 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.