Individual provider · Type 1 NPI

Rosa Ballard, LPN

Licensed Practical Nurse · Fairbanks, AK

NPI number 1174845671 Active

Practice location

3830 S Cushman St
Fairbanks, AK 99701-7530

Mailing address

2001 Cowles St Apt 6
Fairbanks, AK 99701-5938

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X6342 (AK)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1174845671

Rosa Ballard, LPN's National Provider Identifier is 1174845671, issued on Feb 24, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fairbanks, AK. The record was last updated on Feb 24, 2010.