Individual
AMANDA BLAKENEY BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN IBCLC
Contact information
Practice address
2703 CLINTON WAY, DENVER, CO 80238-2903
(303) 330-4422
Mailing address
2703 CLINTON WAY, DENVER, CO 80238-2903
(303) 330-4422
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0176537
CO
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
IBCLC 11194957
CO
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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