Individual
MRS. ASHLEY L BALLENSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
717 MISSION ROAD, FORT HALL, ID 83203-0717
(208) 238-5423
(208) 238-5465
Mailing address
PO BOX 717, FORT HALL, ID 83203-0717
(208) 238-5423
(208) 238-5465
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
N-39540
ID
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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