Ballaao, Blythe

Ballaao, Blythe is an sole proprietor health care provider with primary practice located at 1080 Emeline Ave , Santa Cruz CA 95060-1966. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Ballaao, Blythe can be contacted via phone (831) 454-4100.

Contact Information

Primary practice address
1080 Emeline Ave Santa Cruz CA 95060-1966
Phone: (831) 454-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP136980 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95008756 California

Profile Details

NPI number 1669975777
LBN Legal business name Ballaao, Blythe
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2018
Last updated Aug 30th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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