Provider Demographics
NPI:1982128856
Name:BALL, NATALIE FIRESTONE (APRN)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:FIRESTONE
Last Name:BALL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:102 N NORTHCOTT DR
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:MI
Mailing Address - Zip Code:49670-9797
Mailing Address - Country:US
Mailing Address - Phone:303-531-0023
Mailing Address - Fax:303-962-2388
Practice Address - Street 1:1905 N SHERMAN ST STE 2001719
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-1140
Practice Address - Country:US
Practice Address - Phone:303-531-0023
Practice Address - Fax:303-962-2388
Is Sole Proprietor?:No
Enumeration Date:2017-08-01
Last Update Date:2024-11-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT7116363LF0000X
MARN2359237363LF0000X
COAPN.0996441-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily