Susan C Ballou, CPNP
Nurse Practitioner, Pediatrics in Old Greenwich, Connecticut
1588947170- Practice location
- 3 Hillcrest Park RD, Old Greenwich, CT 06870-1003
- Phone
- 203-202-7532
- Fax
- —
- Last updated
- September 21, 2011
Susan Clayton Ballou is a Nurse Practitioner, Pediatrics based in Old Greenwich, CT. Susan Clayton Ballou practices in Old Greenwich, CT and has the professional credentials of CPNP. The NPI Number for Susan Clayton Ballou is 1588947170 and holds a License No. 004268 (CT). The current practice location address for Susan Clayton Ballou is 3 Hillcrest Park RD, Old Greenwich, CT 06870-1003 and can be reached out via phone at 203-202-7532.
Provider Profile Details
- NPI Number
- 1588947170
- Provider Name
- Susan Clayton Ballou
- Credential
- CPNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 3 Hillcrest Park RD, Old Greenwich, CT 06870-1003
- Phone Number
- 203-202-7532
- Primary Taxonomy
- Nurse Practitioner, Pediatrics · 363LP0200X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 21, 2011
- Last Update Date
- September 21, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3 Hillcrest Park RD
Old Greenwich, CT 06870-1003 - City
- Old Greenwich
- State
- Connecticut
- Zip
- 06870-1003
- Phone Number
- 203-202-7532
Provider Business Mailing Address Details
- Address
- 3 Hillcrest Park RD
Old Greenwich, CT 06870-1003 - City
- Old Greenwich
- State
- CT
- Zip
- 06870-1003
- Phone Number
- 203-202-7532
License Information
- License Number
- 004268
- License State
- CT
- Taxonomy
- Nurse Practitioner, Pediatrics · 363LP0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Susan C Ballou, CPNP?
The NPI number of Susan C Ballou, CPNP is 1588947170. It was assigned on September 21, 2011 and is currently active in the NPPES registry.
What is the specialty of Susan C Ballou, CPNP?
Susan C Ballou, CPNP is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in CT under license number 004268.
Where does Susan C Ballou, CPNP practice?
The practice location is 3 Hillcrest Park RD, Old Greenwich, CT 06870-1003. The office can be reached at 203-202-7532 (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 1588947170 directly on the NPPES registry website.