Individual
MRS. ANDREA PILAR BALTZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
420 MULBERRY ST, VCDH OAKPARK PROFESIONAL BUILDING, EVANSVILLE, IN 47713-1231
(812) 435-5658
(812) 435-5418
Mailing address
608 E CHANDLER AVE, EVANSVILLE, IN 47713-2306
(812) 425-9748
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
28139057A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163W00000X
RN
IN
Enumeration date
09/27/2006
Last updated
07/08/2007
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