Individual
BLERTA BALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN AGNP
Contact information
Practice address
29 S MAIN ST, WINTHROP, MA 02152-3142
(617) 938-7802
Mailing address
29 S MAIN ST, WINTHROP, MA 02152-3142
(617) 938-7802
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2269491
MA
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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