Individual provider · Type 1 NPI
Destiny Shantee Ballance, FNP-BC
Nurse Practitioner · Rancho Cucamonga, CA
Practice location
11175 Azusa Ct Ste 110
Rancho Cucamonga, CA 91730-4933
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 95042920 (CA) |
| Nurse Practitioner Primary | 363L00000X | 95038680 (CA) |
| Nurse Practitioner | 363L00000X | 359569 (NY) |
| Nurse Practitioner | 363L00000X | AP70114616 (WA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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- Kristina ChiuNurse Practitioner Rancho Cucamonga, CA NPI 1437959962
- Flora Eloho Diamreyan, FNPNurse Practitioner Rancho Cucamonga, CA NPI 1477626521
About NPI 1073334959
Destiny Shantee Ballance, FNP-BC's National Provider Identifier is 1073334959, issued on Oct 23, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Sep 2, 2026.