Individual
MRS. CASEY ELLEN BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2001 VAIL AVE, CHARLOTTE, NC 28207-1248
(704) 304-6070
Mailing address
PO BOX 601643, CHARLOTTE, NC 28260-1643
(704) 304-6070
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5005795
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598015083
—
NC
05
—
7006372
—
NC
05
—
NP2142
—
SC
Enumeration date
09/12/2012
Last updated
01/24/2014
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