Individual
ELIZABETH ANNE BALJAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
8535 REFUGEE RD, PICKERINGTON, OH 43147-9625
(740) 205-2007
(877) 384-2597
Mailing address
PO BOX 725, PATASKALA, OH 43062-0725
(740) 975-4278
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.11381-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3075014
—
OH
Enumeration date
06/02/2010
Last updated
04/25/2022
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