Provider Demographics
NPI:1689321788
Name:BALL, CHARLIE ALEXANDRA (CNM, WHNP-BC)
Entity Type:Individual
Prefix:
First Name:CHARLIE
Middle Name:ALEXANDRA
Last Name:BALL
Suffix:
Gender:F
Credentials:CNM, WHNP-BC
Other - Prefix:
Other - First Name:CHARLIE
Other - Middle Name:ALEXANDRA ROY
Other - Last Name:CIANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:258 BROOK ST
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-4305
Mailing Address - Country:US
Mailing Address - Phone:617-835-2367
Mailing Address - Fax:
Practice Address - Street 1:46 OBERY ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-2237
Practice Address - Country:US
Practice Address - Phone:508-830-6116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-08
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife