NPI 1013593607

Amanda Faye Ballard

Practitioner Surgical Technologist Gallup, NM

Practice location

Address: 516 E Nizhoni Blvd, Gallup, NM 87301-5748
Phone: (505) 722-1000
Mailing address: 1004 8th St, Las Vegas, NM 87701-4216

Registered specialties

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X

Other Specialist/Technologist, Other providers in New Mexico →

Registry record

NPI: 1013593607
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Mar 2021
Record last updated: 23 Mar 2021

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.