Individual
DIANE ESTELLE BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
870 MONTGOMERY ST, MANCHESTER, NH 03102-2722
(603) 782-8863
Mailing address
870 MONTGOMERY ST, MANCHESTER, NH 03102-2722
(603) 782-8863
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F334250-1
NY
Other
Enumeration date
08/04/2006
Last updated
06/08/2016
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