EVA BALFANZ (NPI# 1154796357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154796357 |
| Entity Type | Individual |
| Full Name | EVA BALFANZ |
| Credential | LPC |
| Practice Address |
10 Tower Dr Sun Prairie WI 53590-1239 |
| Mailing Address |
2901 Hunters Trl Portage WI 53901-3403 |
| Practice Telephone | 6088253008 |
| Practice Fax Number | 6088253793 |
| Mailing Telephone | 6087425518 |
| Mailing Fax Number | 6087424087 |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2019-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
5195-125 | WI | Behavioral Health & Social Service Providers |
| Street Address |
10 TOWER DR |
| City | SUN PRAIRIE |
| State | WI |
| Zip Code | 53590-1239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013907310 | Melissa Mcgowan Terrill | Optometrist | 10 Tower Dr, Dean Medical Center, Sun Prairie, WI 53590-1239 | 2005-10-27 |
| 1760989982 | Kimberly K Ward | Nurse Practitioner | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2018-04-13 |
| 1205331303 | Laura A. Jacobson | Occupational Therapist | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2018-03-29 |
| 1194242917 | Ashley M Braithwaite | Nurse Practitioner | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2017-08-23 |
| 1609315159 | Kailene L Devries | Physician Assistant | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2017-02-16 |
| 1992250112 | Amanda E Conway | Nurse Practitioner | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2016-08-17 |
| 1134673783 | Stephanie M Johnson | Nurse Practitioner | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2016-08-12 |
| 1912361452 | Lindsey W Engel | Family Medicine | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2016-04-11 |
| 1568839181 | Jolene E Appiah | Occupational Therapist | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2015-08-31 |
| 1194122861 | Laura B Pethan | Nurse Practitioner | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2014-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194280529 | Kasi Lucas Schroeder | Chiropractor | 110 N Grand Ave, Suite 4, Sun Prairie, WI 53590 | 2019-02-11 |
| 1770053712 | Jamie Engstrom | Psychologist | 3061 Pleasant St, 216, Sun Prairie, WI 53590 | 2018-12-03 |
| 1154837433 | Wisconsin Dental Health, LLC | Dentist | 390 S. Grand Ave, Suite#110, Sun Prairie, WI 53590 | 2017-12-21 |
| 1669981676 | Elizabeth M Gregg | Counselor | 1170 N Bird St, Sun Prairie, WI 53590 | 2017-09-21 |
| 1609298595 | Prairie Lakes Dental | Dentist | 2804 Prairie Lakes Drive, Sun Prairie, WI 53590 | 2014-01-10 |
| 1407297559 | Quality Medical Rides LLC | Non-emergency Medical Transport (VAN) | 2907 Vang Rd, Sun Prairie, WI 53590 | 2013-07-17 |
| 1376892851 | Costco Wholesale Corporation | Pharmacy | 2850 Hoepker Rd, Sun Prairie, WI 53590 | 2012-08-30 |
| 1043454234 | Dean Lewis Drake | Registered Nurse | 7281 County Rd V. V., Sun Prairie, WI 53590 | 2009-05-01 |
| 1679728992 | Dianne Mary Mayr | Registered Nurse | 3181 Nature Dr, Conservancy States Ln, Sun Prairie, WI 53590 | 2008-12-01 |
| 1043462021 | Crown Point Village, LLC | Assisted Living Facility | 881 Liberty Boulevard, Sun Prairie, WI 53590 | 2008-10-21 |
| Find all providers in zip 53590 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225418486 | Amber Renee Levanetz | Counselor | 2337 Effingham Way, Sun Prairie, WI 53590-3705 | 2015-06-03 |
| 1013326289 | Emily Priestaf | Counselor | 1320 Buena Vista Dr, Sun Prairie, WI 53590-1896 | 2014-08-12 |
| 1124460662 | Sally R Young | Counselor | 1268 W Main St # 2, Sun Prairie, WI 53590-1930 | 2013-07-25 |
| 1245853340 | Alyssa Greeley | Counselor | 722 Lois Dr, Sun Prairie, WI 53590-1100 | 2020-05-22 |
| 1427605427 | Alison Barger | Counselor | 722 Lois Dr, Sun Prairie, WI 53590-1100 | 2019-08-23 |
| 1952867137 | Catherine Ann Brock | Counselor | 1268 W Main St, Sun Prairie, WI 53590-1930 | 2019-02-13 |
| 1386147791 | Debra Ann Lins | Counselor | 1268 W Main St, Sun Prairie, WI 53590-1930 | 2018-03-12 |
| 1346784584 | Chelsea Rinehart | Counselor | 1268 W Main St, Sun Prairie, WI 53590-1930 | 2016-12-07 |
| 1518188549 | Nicole Houdek | Counselor | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2007-05-01 |
| 1578531380 | Stephanie W Haugen | Counselor | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2006-03-08 |
| Find all providers in SUN PRAIRIE | ||||
| City | SUN PRAIRIE |
| Zip Code | 53590 |
Please comment or provide details below to improve the information on EVA BALFANZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.