Individual
MARTHA BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
400 N EDWARDS ST, ENTERPRISE, AL 36330-2510
(334) 393-8745
Mailing address
400 N EDWARDS ST, ENTERPRISE, AL 36330-2510
(334) 393-8745
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
1-111395
AL
363LF0000X
Family Nurse Practitioner
Primary
1-111395
AL
Other
Enumeration date
07/22/2014
Last updated
07/21/2022
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