Individual provider · Type 1 NPI
Evangeline Sosa Ballard, FNP-C
Primary Care Nurse Practitioner · Odessa, TX
NPI number
1245376417
Active
Practice location
2450 NW Loop 338
Odessa, TX 79763-3201
Fax (432) 332-2665
Mailing address
PO Box 2129
Odessa, TX 79760-2129
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 512262 (TX) |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
Other primary care nurse practitioner providers in Odessa
About NPI 1245376417
Evangeline Sosa Ballard, FNP-C's National Provider Identifier is 1245376417, issued on Jan 29, 2007. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Odessa, TX. The record was last updated on Jul 29, 2014.