BENJAMIN BALLARD PMHNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Psych/Mental Health
Provider Information
- NPI Number
1982307534- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PMHNP
- Status
- Active
Contact & Location
- Address
- 145 W 200 N, PROVO, UT, 846013012
- Phone
- (801) 821-2781
Specialties & Taxonomies
Registered Nurse, Psych/Mental Health
License: UT #12187209-3102
Nurse Practitioner, Psych/Mental Health
Primary License: UT #12187209-4405
Registered Nurse
License: UT #12187209-3102