Individual
AMANDA BALZER-COSTIN
Active
Individual
AMANDA BALZER-COSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R180660
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
453505700
—
MD
Enumeration date
11/04/2013
Last updated
08/29/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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