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Individual

NANCY A BALLARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
34 S BALDWIN AVE, ARCADIA, FL 34266-3387
(863) 491-7580
(863) 491-7584
Mailing address
34 S BALDWIN AVE, ARCADIA, FL 34266-3387
(863) 491-7580
(863) 491-7584

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5180101
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PN5180101
LPN LICENSE
FL
Enumeration date
10/20/2009
Last updated
07/18/2016
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