Individual provider · Type 1 NPI
Miranda Dianne Ballard, FNP-BC
Nurse Practitioner · Thousand Oaks, CA
Practice location
215 W Janss Rd
Thousand Oaks, CA 91360-1847
Mailing address
2116 Vanguard Dr
Camarillo, CA 93010-2132
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95029217 (CA) |
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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About NPI 1144086109
Miranda Dianne Ballard, FNP-BC's National Provider Identifier is 1144086109, issued on Feb 26, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Thousand Oaks, CA. The record was last updated on Feb 26, 2024.