Individual
BREANNA JUNE BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9735 COUNTRY VISTAS WAY, PEYTON, CO 80831-8383
(405) 760-1890
Mailing address
9735 COUNTRY VISTAS WAY, PEYTON, CO 80831-8383
(405) 760-1890
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
1677636
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.1001596-NP
CO
Other
Enumeration date
11/03/2025
Last updated
03/02/2026
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