Provider Demographics
NPI:1942554811
Name:BALAS, MICHELE CHRISTINA (PHD, RN, APRN-NP, CC)
Entity Type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:CHRISTINA
Last Name:BALAS
Suffix:
Gender:F
Credentials:PHD, RN, APRN-NP, CC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4903 NORTH 142ND STREET
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-6090
Mailing Address - Country:US
Mailing Address - Phone:402-315-4326
Mailing Address - Fax:402-559-9666
Practice Address - Street 1:985330 NEBRASKA MEDICAL CENTER
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-5330
Practice Address - Country:US
Practice Address - Phone:402-559-9758
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-31
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1888363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care