Ballantyne, Nina Mills

Ballantyne, Nina Mills is an individual health care provider with primary practice located at 1017 Damascus Cir , Costa Mesa CA 92626-1608. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Ballantyne, Nina Mills can be contacted via phone (413) 687-9263.

Contact Information

Primary practice address
1017 Damascus Cir Costa Mesa CA 92626-1608
Phone: (413) 687-9263
Fax: (714) 707-4119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X California
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 95010744 California
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 235994 California

Profile Details

NPI number 1598233306
LBN Legal business name Ballantyne, Nina Mills
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2018
Last updated Mar 23rd, 2024 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598233306 NPPES
California MEDICAID 1467590901

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