Individual
MR. DAVE R BALBARADA
Active
Individual
MR. DAVE R BALBARADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, ACNPC-AG
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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