MEDICARE: NATALIE FIRESTONE BALL APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	7116	CT
2	363LF0000X	Family Nurse Practitioner	RN2359237	MA
3	363LF0000X	Family Nurse Practitioner	APN.0996441-NP	CO

General Provider Information

NPI Number	:	1982128856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE FIRESTONE BALL APRN

Provider Business Mailing Address
First Line	:	102 N NORTHCOTT DR
Second Line	:
City	:	NORTHPORT
State	:	MI
Zip	:	49670-9797
Country	:	US
Telephone Number	:	303-531-0023
Fax Number	:	303-962-2388

Provider Business Practice Location Address
First Line	:	1905 N SHERMAN ST STE 2001719
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-1140
Country	:	US
Telephone Number	:	303-531-0023
Fax Number	:	303-962-2388

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2017
Last Update Date	:	11/18/2024

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