Ballou, Mary

Ballou, Mary is an individual health care provider with primary practice located at 1551 Clay St , Winter Park FL 32789-5499. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Ballou, Mary can be contacted via phone (407) 644-5371.

Contact Information

Primary practice address
1551 Clay St Winter Park FL 32789-5499
Phone: (407) 644-5371
Fax: (407) 644-1417
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X ARNP2075302 Florida

Profile Details

NPI number 1336445147
LBN Legal business name Ballou, Mary
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2011
Last updated Feb 22nd, 2012 - about 14 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.

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