Individual
ELISABETH ERIN BALLANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2517 WRENCREST CIR, VALRICO, FL 33596-6320
(813) 240-8987
Mailing address
2517 WRENCREST CIR, VALRICO, FL 33596-6320
(813) 240-8987
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9326545
FL
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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