NPI 1003054586

Michele Marie Ballister, DNPAPRNCRNACHSE

Practitioner Certified Registered Nurse Anesthetist Lagrange, GA

Practice location

Address: 1514 Vernon Rd, Lagrange, GA 30240-4131
Phone: (706) 822-1411
Mailing address: PO Box 603484, Charlotte, NC 28260-3484

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 3758 (SC)

Other Nurse Anesthetist, Certified Registered providers in Georgia →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 289363 (GA)

Registry record

NPI: 1003054586
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jan 2009
Record last updated: 29 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.