Andrea Ball, RN
Individual provider Active NPI Registered Nurse · Meriden, CT
NPI 1093336638 · NPPES record last updated May 6, 2020
Key facts
- NPI
- 1093336638
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- E52783 (CT)
- Practice address
- 211 Pomeroy Ave Apt 2201
Meriden, CT 06450-1766 - Phone
- (203) 710-4582
- NPI assigned
- May 6, 2020
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E52783 | CT | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | E52783 | CT | Yes |
Addresses
Primary practice location
211 Pomeroy Ave Apt 2201
Meriden, CT 06450-1766
Mailing address
211 Pomeroy Ave Apt 2201
Meriden, CT 06450-1766
Phone (203) 710-4582
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1060425 | Other | CT | LICENSE |
| 5425205 | Other | CT | CRD |
Other providers in Meriden, CT
- Ahmad Jamal Badwan
- Ossama Bahgat
- Bailey Health LLC
- Jacqueline Baker
- Jeremiah Peter Baker
- Jackie Balzer
- Jonah Alexander Barasz
- Courtney Sutton Barber Devine
- Tracy C Barber
- Rafal Barczak
All providers in Meriden, CT · Registered Nurse in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2020. 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.