Christian Ann Ballance, RN

Individual provider Active NPI Registered Nurse · Greenbrae, CA

NPI 1679998264 · NPPES record last updated Apr 5, 2021

Key facts

NPI
1679998264
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
95023393 (FL)
Practice address
250 Bon Air Road
Unit B
Greenbrae, CA 94904
Phone
(415) 473-6793
NPI assigned
Feb 19, 2014
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

LicenseStateTypeSpecialty
95023393FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
County of Marin Past
since Apr 11, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95023393 FL Yes

Addresses

Primary practice location

250 Bon Air Road
Unit B
Greenbrae, CA 94904

Mailing address

250 Bon Air Road
Unit B
Greenbrae, CA 94904
Phone (415) 473-6793

Other names

  • Christian Ann Kelly Former name

Other providers in Greenbrae, CA

All providers in Greenbrae, CA · Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.