Individual provider · Type 1 NPI

Theresa Lee Balloy

Registered Nurse · Shakopee, MN

NPI number 1669253308 Active

Practice location

2540 Onyx Dr
Shakopee, MN 55379-2769

Mailing address

23341 Arrowhead St NW
St. Francis, MN 55070-9587

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X2261025 (MN)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1669253308

Theresa Lee Balloy's National Provider Identifier is 1669253308, issued on Oct 9, 2023. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Shakopee, MN. The record was last updated on Oct 9, 2023.