KEISHA ALETHEA BALLENTINE — Medicare Enrolled Provider (PRACTITIONER - NURSE PRACTITIONER, NY)
KEISHA ALETHEA BALLENTINE — Medicare Enrolled Provider (PRACTITIONER - NURSE PRACTITIONER, NY) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: KEISHA ALETHEA BALLENTINE; Type: Individual; NPI: 1003235284.
| Name | KEISHA ALETHEA BALLENTINE |
|---|---|
| Type | Individual |
| NPI | 1003235284 |
| Provider type | PRACTITIONER - NURSE PRACTITIONER |
| State | NY |
| Enrollment ID | I20140620001292 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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