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Rosa Ballard, LPN
Licensed Practical Nurse in Fairbanks, Alaska
NPI 1174845671

Rosa Ballard is a Licensed Practical Nurse based in Fairbanks, AK. Rosa Ballard practices in Fairbanks, AK and has the professional credentials of LPN. The NPI Number for Rosa Ballard is 1174845671 and holds a License No. 6342 (Alaska).

The current practice location address for Rosa Ballard is 3830 S Cushman St, Fairbanks, AK and can be reached out via phone at 907-452-1575. You can also correspond with Rosa Ballard through the mailing address at 2001 COWLES ST APT 6, FAIRBANKS, AK - 99701-5938 (mailing address contact number: 907-374-7702).

Location: 3830 S Cushman St, Fairbanks, AK, 99701-5938
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174845671
Provider Name
Rosa Ballard
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
3830 S Cushman St, Fairbanks, AK, 99701-5938
Phone Number
907-452-1575
Fax Number
Provider Enumeration Date
02/24/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3830 S Cushman St
City
Fairbanks
State
Alaska
Zip
99701-7530
Phone Number
907-452-1575
Fax Number
person
Provider Business Mailing Address Details
Address
3830 S Cushman St
City
Fairbanks
State
Alaska
Zip
99701-7530
Phone Number
907-452-1575
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
6342 (Alaska)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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