Tony Gordon Ballensky, FNP Valid NPI

Individual provider · Family Nurse Practitioner · Butte, MT

NPI

1124532155

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

128284 (MT)

Sex

Male

Sole proprietor

No

Enumerated

2017-11-29

Last updated

2017-11-29