Individual
MRS. CHANTEEL A BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1950 CIRCLE OF HOPE, CLINIC 3A, SALT LAKE CITY, UT 84112-5500
(801) 585-0100
(801) 587-8143
Mailing address
127 S 500 E STE 600, SALT LAKE CITY, UT 84102-1971
(801) 587-6705
(801) 715-8228
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
198239-4405
UT
Other
Enumeration date
08/18/2010
Last updated
10/19/2021
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