Individual
MRS. PATSY ANN BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
418 N MAIN ST, KEUKA HEALTH CARE, PENN YAN, NY 14527-1070
(315) 531-2944
(315) 536-0430
Mailing address
2166 ELLIS ROAD, DUNDEE, NY 14837
(315) 531-2944
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F3318891
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02218688
—
NY
Enumeration date
12/18/2006
Last updated
11/18/2010
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