Ballantyne, Nina Mills
Ballantyne, Nina Mills is an individual health care provider with primary practice located at 1017 Damascus Cir , Costa Mesa CA 92626-1608. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Ballantyne, Nina Mills can be contacted via phone (413) 687-9263.Contact Information
Primary practice address
1017 Damascus Cir
Costa Mesa CA 92626-1608
Phone: (413) 687-9263
Fax: (714) 707-4119
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | California | |
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 95010744 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 235994 | California |
Profile Details
| NPI number | 1598233306 |
|---|---|
| LBN Legal business name | Ballantyne, Nina Mills |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2018 |
| Last updated | Mar 23rd, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598233306 | NPPES |
| California | MEDICAID | 1467590901 |
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