Individual
TONI BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
941 KAMEHAMEHA HWY STE 204, PEARL CITY, HI 96782-2516
(808) 829-1244
Mailing address
1253 MAKALAPA GATE RD, PEARL HARBOR, HI 96860-4479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-96985
HI
363LF0000X
Family Nurse Practitioner
Primary
APRN-3388-0
HI
Other
Enumeration date
02/25/2021
Last updated
05/16/2022
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