Doctor Name: | HEATHER BALL |
NPI Number: | 1396142261 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | R157601 |
Business Practice Address: | 6707 Whitestone Rd Ste 106 Woodlawn, MD - 212074140 |
Business Phone Number: | 3012658737 |
Business Fax Number: | |
Mailing Address: | 7718 Bridle Path Cir, FREDERICK |
State: | MD |
Postal Code: | 217013371 |
Phone Number: | 3018983108 |
Fax Number: | |
NPI Enumeration Date: | 11/20/2014 |
NPI Last Update Date: | 11/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0400X |
License Number: | R157601 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Case Management |
Taxonomy Definition: |