Healthcare Provider Details

I. General information

NPI: 1598018012
Provider Name (Legal Business Name): AIMEE HEATHER BALLEW APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AIMEE BALLEW SATTERFIELD APRN, FNP-BC

II. Dates (important events)

Enumeration Date: 10/22/2012
Last Update Date: 03/19/2024
Certification Date: 03/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

#733 2ND AVENUE
KOTZEBUE AK
99752
US

IV. Provider business mailing address

165 BLUE RIDGE OVERLOOK
BLUE RIDGE GA
30513-4431
US

V. Phone/Fax

Practice location:
  • Phone: 907-442-3321
  • Fax:
Mailing address:
  • Phone: 706-946-5607
  • Fax: 706-374-7628

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4001421
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9482434
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN155152
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: