Individual provider · Type 1 NPI

Carl Bally, CNP

Nurse Practitioner · Cleveland, OH

NPI number 1336372002 Active

Practice location

9500 Euclid Ave
Cleveland, OH 44195-0001

Mailing address

6000 W Creek Rd, Suite 10
Independence, OH 44131-2182

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN245202 (OH)

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 1336372002

Carl Bally, CNP's National Provider Identifier is 1336372002, issued on Aug 28, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Cleveland, OH. The record was last updated on Aug 28, 2009.