Individual
PATRICIA MARIE BALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1470 E VALENTINE CIRCLE NW, CANTON, OH 44708-3155
(330) 452-6060
(330) 452-6065
Mailing address
1470 E VALENTINE CIRCLE NW, CANTON, OH 44708-3155
(330) 452-6060
(330) 452-6065
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
NM-011104
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000186740
ANTHEM
OH
05
—
2211985
—
OH
Enumeration date
06/13/2006
Last updated
01/15/2010
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