Provider Demographics
NPI:1679972053
Name:BALL, MARGARET E (NP-C)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:E
Last Name:BALL
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5440 BLACK RD
Mailing Address - Street 2:
Mailing Address - City:WATERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43566-9737
Mailing Address - Country:US
Mailing Address - Phone:419-806-2184
Mailing Address - Fax:
Practice Address - Street 1:5700 MONROE ST UNIT 103
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-2771
Practice Address - Country:US
Practice Address - Phone:419-843-7996
Practice Address - Fax:419-841-7704
Is Sole Proprietor?:No
Enumeration Date:2014-08-21
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.16179363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0110184Medicaid