Healthcare Provider Details

I. General information

NPI: 1861147795
Provider Name (Legal Business Name): FIONA CHRISTINA BALL BS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/18/2022
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 RETREAT AVE
HARTFORD CT
06106-3310
US

IV. Provider business mailing address

315 TRUMBULL ST APT 1915
HARTFORD CT
06103-1148
US

V. Phone/Fax

Practice location:
  • Phone: 860-545-7918
  • Fax:
Mailing address:
  • Phone: 240-547-7159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: