WILLIE BALLOU, NP-C
Nurse Practitioner
Active
Individual
NPI: 1548657802
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Adult Health | 363LA2200X | No | AP127755 (TX) |
| Nurse Practitioner | 363L00000X | Yes | 229136 (AZ) |
Frequently Asked Questions
NPI 1548657802 is the National Provider Identifier for WILLIE BALLOU, NP-C, a Nurse Practitioner provider located in Tempe, AZ. This NPI was enumerated on April 23, 2015.
WILLIE BALLOU, NP-C practices at 4041 S MCCLINTOCK DR, Tempe, AZ 85282.
Quick Facts
- NPI
- 1548657802
- Type
- Individual
- Enumerated
- Apr 23, 2015
- Last Updated
- Jul 7, 2021
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