Carla Ballreich, R.N.
Individual provider Active NPI Registered Nurse · Fostoria, OH
NPI 1700284684 · NPPES record last updated Dec 9, 2014
Key facts
- NPI
- 1700284684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN186588 (OH)
- Practice address
- 1202 H L Ford Dr
Fostoria, OH 44830-4700 - Phone
- (419) 436-4125
- NPI assigned
- Dec 9, 2014
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN186588 | OH | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN186588 | OH | Yes |
Addresses
Primary practice location
1202 H L Ford Dr
Fostoria, OH 44830-4700
Mailing address
1202 H L Ford Dr
Fostoria, OH 44830-4700
Phone (419) 436-4125
Other providers in Fostoria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2014. 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.