Individual
MS. CHRISTEN BALLOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
13 CLEVELAND ST, VALLEY STREAM, NY 11580-6003
(516) 823-0739
(516) 823-1550
Mailing address
13 CLEVELAND ST, VALLEY STREAM, NY 11580-6003
(516) 823-0739
(516) 823-1550
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
686053
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
686053
R.N LICENSE NUMBER
NY
Enumeration date
09/08/2014
Last updated
09/08/2014
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