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Individual

ALBERT JAMES BALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
11345 W PRICKLY PEAR TRL, PEORIA, AZ 85383-9786
(505) 322-8858
Mailing address
291 N PECOS RD, HENDERSON, NV 89074-1918
(702) 616-9471

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
266289
AZ
363LF0000X
Family Nurse Practitioner
848565
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
266289
ARIZONA STATE BOARD OF NURSING
AZ
01
848565
NEVADA STATE BOARD OF NURSING
NV
Enumeration date
11/30/2021
Last updated
02/23/2022
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