Individual
ALISON BALLANTYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
85 PATTON RD, DEVENS, MA 01434-4401
(978) 615-5200
(978) 772-5253
Mailing address
85 PATTON RD, DEVENS, MA 01434-4401
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F402148-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2302916
MA
Other
Enumeration date
08/11/2016
Last updated
01/12/2020
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