Individual
ANDREA BALAZS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
12410 E SINTO AVE STE 101, SPOKANE VALLEY, WA 99216-2258
(509) 838-2531
(509) 755-6580
Mailing address
PO BOX 3649, SPOKANE, WA 99220
(509) 838-2531
(509) 755-6580
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30003720
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010143137
BLUE SHIELD OF IDAHO
—
01
—
129923
LABOR & INDUSTRIES
WA
01
—
500008540
RAILROAD MEDICARE
—
05
—
805577102
—
ID
05
—
9624867
—
WA
01
—
BA1773
ASURIS NW HEALTH
—
Enumeration date
09/22/2005
Last updated
07/21/2022
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