Individual
MRS. DELORES ELLEN BARDALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN-BC
Contact information
Practice address
618 PLEASANTVILLE RD, SUITE 101, LANCASTER, OH 43130-3312
(740) 653-7511
(740) 653-7512
Mailing address
618 PLEASANTVILLE RD, SUITE 101, LANCASTER, OH 43130-3325
(740) 475-0501
(740) 653-7512
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.09079-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2750394
—
OH
Enumeration date
10/05/2006
Last updated
08/19/2015
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