Individual
AMANDA NICHOLE BALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
505 OAKFIELD DR, BRANDON, FL 33511-5700
(813) 684-2229
(813) 813-0330
Mailing address
505 OAKFIELD DR, BRANDON, FL 33511-5700
(813) 684-2229
(813) 813-0330
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN9265544
FL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
APRN9265544
FL
Other
Enumeration date
03/19/2012
Last updated
12/13/2021
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