Individual
CRYSTAL L BALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN, CPNP
Contact information
Practice address
130 2ND ST, NEENAH, WI 54956-2883
(920) 969-7900
Mailing address
N2277 COUNTY ROAD T, NEW HOLSTEIN, WI 53061-9705
(920) 901-2466
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
7316
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376094664
—
WI
Enumeration date
10/20/2016
Last updated
06/10/2024
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