Active NPIIndividual providerSole proprietor

Reatha W Ballard, CRNA

Nurse Anesthetist, Certified Registered in Damariscotta, Maine

NPI Number1336106616
Practice location
35 Miles St, Damariscotta, ME 04543-4047
Fax
—
Last updated
August 26, 2020

Reatha W. Ballard is a Nurse Anesthetist, Certified Registered based in Damariscotta, ME. Reatha W. Ballard practices in Damariscotta, ME and has the professional credentials of CRNA. The NPI Number for Reatha W. Ballard is 1336106616 and holds a License No. 1-025847 (AL). The current practice location address for Reatha W. Ballard is 35 Miles St, Damariscotta, ME 04543-4047 and can be reached out via phone at 207-563-4904.

Provider Profile Details

NPI Number
1336106616
Provider Name
Reatha W. Ballard
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
35 Miles St, Damariscotta, ME 04543-4047
Phone Number
207-563-4904
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
Yes
Provider Enumeration Date
April 28, 2006
Last Update Date
August 26, 2020
Certification Date
August 26, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
35 Miles St
Damariscotta, ME 04543-4047
State
Maine
Zip
04543-4047
Phone Number
207-563-4904
Damariscotta, ME 04543Get directions →

Provider Business Mailing Address Details

Address
1414 Golden Springsroad
#305
Anniston, AL 36207
City
Anniston
State
AL
Zip
36207
Phone Number
256-239-0569

License Information

License Number
1-025847
License State
AL
Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Nurse Anesthetist, Certified Registered providers near Damariscotta, ME

View all Nurse Anesthetist, Certified Registered providers in Damariscotta →

Frequently Asked Questions

What is the NPI number of Reatha W Ballard, CRNA?

The NPI number of Reatha W Ballard, CRNA is 1336106616. It was assigned on April 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Reatha W Ballard, CRNA?

Reatha W Ballard, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in AL under license number 1-025847.

Where does Reatha W Ballard, CRNA practice?

The practice location is 35 Miles St, Damariscotta, ME 04543-4047. The office can be reached at 207-563-4904 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336106616 directly on the NPPES registry website.

Browse related providers