Individual
LAURA ANN BALLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
34 LAVELLE CT, UNALASKA, AK 99685-0144
(907) 581-1202
(907) 581-4897
Mailing address
PO BOX 144, UNALASKA, AK 99685-0144
(907) 581-1202
(907) 581-4897
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1245
AK
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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