Active NPIIndividual provider

Angela F Ballas, APRN

Nurse Practitioner in Old Lyme, Connecticut

NPI Number1891122362
Practice location
55 Hatchetts Hill RD, Old Lyme, CT 06371-1534
Fax
—
Last updated
October 12, 2017

Angela Farah Ballas is a Nurse Practitioner based in Old Lyme, CT. Angela Farah Ballas practices in Old Lyme, CT and has the professional credentials of APRN. The NPI Number for Angela Farah Ballas is 1891122362 and holds a License No. 005514 (CT). The current practice location address for Angela Farah Ballas is 55 Hatchetts Hill RD, Old Lyme, CT 06371-1534 and can be reached out via phone at 800-370-3651.

Provider Profile Details

NPI Number
1891122362
Provider Name
Angela Farah Ballas
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
55 Hatchetts Hill RD, Old Lyme, CT 06371-1534
Phone Number
800-370-3651
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
September 30, 2013
Last Update Date
October 12, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Hatchetts Hill RD
Old Lyme, CT 06371-1534
Zip
06371-1534
Phone Number
800-370-3651
Old Lyme, CT 06371Get directions →

Provider Business Mailing Address Details

Address
55 Hatchetts Hill RD
Old Lyme, CT 06371-1534
City
Old Lyme
State
CT
Zip
06371-1534
Phone Number
800-370-3651

License Information

License Number (1)
005514
License State (1)
CT
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (2)
5514
License State (2)
CT
Taxonomy (2)
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 Angela F Ballas, APRN?

The NPI number of Angela F Ballas, APRN is 1891122362. It was assigned on September 30, 2013 and is currently active in the NPPES registry.

What is the specialty of Angela F Ballas, APRN?

Angela F Ballas, APRN is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in CT under license number 005514.

Where does Angela F Ballas, APRN practice?

The practice location is 55 Hatchetts Hill RD, Old Lyme, CT 06371-1534. The office can be reached at 800-370-3651 (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 1891122362 directly on the NPPES registry website.

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