Individual
MR. DAVE R BALBARADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, ACNPC-AG
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 873-7930
Mailing address
1063 WOODBURY FALLS DR, NASHVILLE, TN 37221-1418
(615) 638-9454
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
28806
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000271930
AMERICAN ASSOCIATION OF CRITICAL CARE NURSES
—
01
—
28806
TN BOARD OF NURSING
TN
Enumeration date
01/09/2021
Last updated
01/09/2021
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