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Individual

BREANA MICHELLE BALL

Active
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Individual

BREANA MICHELLE BALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
78286
WV
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0027592
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0249900
OH
05
1041764170001
PA
05
1265943419
WV
Enumeration date
10/16/2017
Last updated
12/11/2025
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