Angela Marie Ballard Valid NPI
Individual provider · Nurse Practitioner · Bardstown, KY
- NPI
- 1033117478
- Type
- Individual (Type 1)
- Primary specialty
- Nurse Practitioner
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363L00000X
- License number
- 3002356 (KY)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2005-07-11
- Last updated
- 2016-11-22
Practice location
201 S 5th St
Bardstown, KY 40004-1142
(502) 348-5968