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Willie Benjamin Ballou, NP-C
Nurse Practitioner in Tempe, Arizona
NPI 1548657802

Willie Benjamin Ballou is a Nurse Practitioner based in Tempe, AZ. Willie Benjamin Ballou practices in Tempe, AZ and has the professional credentials of NP-C. The NPI Number for Willie Benjamin Ballou is 1548657802 and holds a License No. AP127755 (Arizona).

The current practice location address for Willie Benjamin Ballou is 4041 S Mcclintock Dr, Tempe, AZ and can be reached out via phone at 520-233-7111.

Location: 4041 S Mcclintock Dr, Tempe, AZ, 85282-5879
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548657802
Provider Name
Willie Benjamin Ballou
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
4041 S Mcclintock Dr, Tempe, AZ, 85282-5879
Phone Number
520-233-7111
Fax Number
Provider Enumeration Date
04/23/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4041 S Mcclintock Dr
City
Tempe
State
Arizona
Zip
85282-5879
Phone Number
520-233-7111
Fax Number
person
Provider Business Mailing Address Details
Address
4041 S Mcclintock Dr
City
Tempe
State
Arizona
Zip
85282-5879
Phone Number
520-233-7111
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
229136 (Arizona)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
AP127755 (Texas)
Definition
Definition to come...
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