Individual
EVA A BALLAGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNPC-AG BC
Contact information
Practice address
8260 ATLEE RD, MECHANICSVILLE, VA 22116
(804) 764-6088
Mailing address
1101 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4467
(540) 899-1354
(540) 899-1359
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024175512
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024175512
NP
VA
Enumeration date
10/18/2017
Last updated
10/18/2024
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