Linda Kay Balthazor, RN Valid NPI

Individual provider · Pediatric Registered Nurse · Stoughton, WI

NPI

1467971507

Type

Individual (Type 1)

Primary specialty

Pediatric Registered Nurse (Registered Nurse)

Specialty group

Nursing Service Providers

Taxonomy code

163WP0200X

License number

104424 (WI)

Sex

Female

Sole proprietor

No

Enumerated

2017-09-10

Last updated

2017-09-10