Miranda Dianne Ballard, FNP-BC
NPI #1144086109 in Thousand Oaks, California
Provider Information
- NPI Number
- 1144086109
- Entity Type
- Individual
- Name
- Miranda Dianne Ballard, FNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- FNP-BC
- Enumeration Date
- Feb 26, 2024
- Last Updated
- Feb 26, 2024
Practice Location
- Address
- 215 W JANSS RD
- City
- Thousand Oaks
- State
- California
- ZIP Code
- 91360-1847
- Phone
- (805) 370-4435
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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