Provider Demographics
NPI:1730497603
Name:BALL, JOAN C (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:C
Last Name:BALL
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:601 MANATEE AVE W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-8610
Mailing Address - Country:US
Mailing Address - Phone:941-745-2727
Mailing Address - Fax:941-745-2112
Practice Address - Street 1:601 MANATEE AVE W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-8610
Practice Address - Country:US
Practice Address - Phone:941-745-2727
Practice Address - Fax:941-745-2112
Is Sole Proprietor?:No
Enumeration Date:2010-09-14
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP2529722367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered