Provider Demographics
NPI:1326558958
Name:BALZANO, KARA JACQUELINE (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:JACQUELINE
Last Name:BALZANO
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:JACQUELINE
Other - Last Name:NEEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-CNP
Mailing Address - Street 1:3333 BURNET AVENUE
Mailing Address - Street 2:MLC 11024
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3026
Mailing Address - Country:US
Mailing Address - Phone:513-803-0375
Mailing Address - Fax:513-803-9294
Practice Address - Street 1:3333 BURNET AVENUE
Practice Address - Street 2:MLC 11024
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229
Practice Address - Country:US
Practice Address - Phone:513-803-0375
Practice Address - Fax:513-803-9294
Is Sole Proprietor?:No
Enumeration Date:2017-10-10
Last Update Date:2019-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.021704363LA2100X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care