Individual
HANNAH BALLEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(812) 309-9802
Mailing address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(812) 309-9802
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
272626
MA
2084P0800X
Psychiatry Physician
Primary
68569
TN
2084P0800X
Psychiatry Physician
D91625
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2017
Last updated
09/06/2023
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