Individual
MADISON BALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
902 GALLIA ST, PORTSMOUTH, OH 45662-4139
(740) 529-2125
Mailing address
PO BOX 55, WALTON, KY 41094-0055
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0029968
OH
Other
Enumeration date
11/21/2021
Last updated
11/21/2021
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