NPI 1184207805

Samantha Marie Ballard, RD

Practitioner Registered Dietitian Easton, MD

Practice location

Address: 508 Idlewild Ave STE 3, Easton, MD 21601-3834
Phone: (410) 697-3832
Mailing address: 104 John Patrick Dr, Stevensville, MD 21666-2696

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence DX5255 (MD)

Other Dietitian, Registered providers in Maryland →

Registry record

NPI: 1184207805
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Apr 2021
Record last updated: 30 Apr 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.