Active NPIIndividual providerSole proprietor

Andis Bala

Nurse Practitioner in Plymouth, Massachusetts

NPI Number1770154494
Practice location
275 Sandwich St, Plymouth, MA 02360-2183
Fax
508-746-0429
Last updated
December 3, 2024

Andis Bala is a Nurse Practitioner based in Plymouth, MA. Andis Bala practices in Plymouth, MA. The NPI Number for Andis Bala is 1770154494 and holds a License No. RN2350503 (MA). The current practice location address for Andis Bala is 275 Sandwich St, Plymouth, MA 02360-2183 and can be reached out via phone at 508-746-0284 and via fax at 508-746-0429.

Provider Profile Details

NPI Number
1770154494
Provider Name
Andis Bala
Provider Entity Type
Individual
Gender
Male
Address
275 Sandwich St, Plymouth, MA 02360-2183
Phone Number
508-746-0284
Fax Number
508-746-0429
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 3, 2021
Last Update Date
December 3, 2024
Certification Date
December 3, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
275 Sandwich St
Plymouth, MA 02360-2183
Zip
02360-2183
Phone Number
508-746-0284
Fax Number
508-746-0429
Plymouth, MA 02360Get directions →

Provider Business Mailing Address Details

Address
46 Obery St
Plymouth, MA 02360-2237
City
Plymouth
State
MA
Zip
02360-2237

License Information

License Number
RN2350503
License State
MA
Taxonomy
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Andis Bala?

The NPI number of Andis Bala is 1770154494. It was assigned on July 3, 2021 and is currently active in the NPPES registry.

What is the specialty of Andis Bala?

Andis Bala is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number RN2350503.

Where does Andis Bala practice?

The practice location is 275 Sandwich St, Plymouth, MA 02360-2183. The office can be reached at 508-746-0284 (phone) or 508-746-0429 (fax).

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 1770154494 directly on the NPPES registry website.

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