MRS. LORETTA LYNN BALLARD


Address: 11514 Poema Pl Unit 102, Chatsworth, CA 91311-1114
Phone: 6073516967

MRS. LORETTA LYNN BALLARD (NPI# 1609484476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609484476
Entity Type Individual
Full Name MRS. LORETTA LYNN BALLARD
Credential RN
Practice Address 11514 Poema Pl Unit 102
Chatsworth
CA 91311-1114
Practice Telephone 6073516967
Mailing Telephone 6073516967
Enumeration Date 2020-07-17
Last Update Date 2020-07-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
723764 CA Nursing Service Providers

Office Location

Street Address 11514 POEMA PL UNIT 102
City CHATSWORTH
State CA
Zip Code 91311-1114

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Taxonomy Information

Taxonomy Code 163WP0808X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City CHATSWORTH
Zip Code 91311

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Dataset Information

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.

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