Individual
HEATHER BALLANTYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
2601 N TENAYA WAY, LAS VEGAS, NV 89128-0427
(702) 240-8155
(702) 240-8161
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
819914
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
819914
STATE LICENSE
NV
Enumeration date
05/03/2019
Last updated
02/12/2026
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