Provider Demographics
NPI:1164888327
Name:BALLERT, HELEN JANE MAXINE (APRN)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:JANE MAXINE
Last Name:BALLERT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 FESTIVAL PLAZA DR STE 180
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89135-2918
Mailing Address - Country:US
Mailing Address - Phone:702-957-1196
Mailing Address - Fax:
Practice Address - Street 1:1825 FESTIVAL PLAZA DR STE 180
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89135-2918
Practice Address - Country:US
Practice Address - Phone:702-957-1196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-04
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN002112363LA2100X
NVRN85614363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care