Individual provider · Type 1 NPI

Samantha Ballas

Student in an Organized Health Care Education/Training Program · Providence, RI

NPI number 1770172314 Active

Practice location

593 Eddy St
Providence, RI 02903-4923

Call (401) 793-2695 Map

Fax (401) 444-4165

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XLP06882 (RI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1770172314

Samantha Ballas's National Provider Identifier is 1770172314, issued on Jan 17, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Providence, RI. The record was last updated on May 17, 2026.