Individual
DESIREE BALLESTEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
125 130TH ST SE, EVERETT, WA 98208-6401
(425) 224-8200
Mailing address
125 130TH ST SE, EVERETT, WA 98208-6401
(425) 224-8200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61254008
WA
363LF0000X
Family Nurse Practitioner
22945
SC
Other
Enumeration date
07/28/2019
Last updated
03/02/2022
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