# ANNA BALABAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1750917076
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | RN266425 | GA | Yes |
| 363LF0000X | Family Nurse Practitioner | RN266425 | GA | — |

## Other

- **Enumeration date:** 03/18/2020
- **Last updated:** 02/25/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003239903A | — | GA |
| 05 | — | 003239903B | — | GA |
| 01 | — | G22037A | MEDICARE PTAN | GA |