Individual provider · Type 1 NPI

Mary Ballou, ARNP

Obstetrics & Gynecology Nurse Practitioner · Winter Park, FL

NPI number 1336445147 Active

Practice location

1551 Clay St
Winter Park, FL 32789-5499

Fax (407) 644-1417

Mailing address

PO Box 25317
Tampa, FL 33622-5317

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Nurse Practitioner Primary 363LX0001XARNP2075302 (FL)

Obstetrics & Gynecology Nurse Practitioner: Definition to come...

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About NPI 1336445147

Mary Ballou, ARNP's National Provider Identifier is 1336445147, issued on Jan 27, 2011. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Winter Park, FL. The record was last updated on Feb 22, 2012.