Individual
LEDJIE R. BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 543-2470
Mailing address
PO BOX 24975, SEATTLE, WA 98124-0975
(425) 353-2840
(425) 353-8041
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00080666
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30005027
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03644U
REGENCE BLUESHIELD
WA
05
—
9620683
—
WA
Enumeration date
04/04/2006
Last updated
10/10/2007
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