DEANNA M BALLARD

WESTERN CONNECTICUT MEDICAL GROUP INC

Dr DEANNA M BALLARD is a female medical professional, specializing in Nurse Practitioner. She graduated in 2016.

Contact

WESTERN CONNECTICUT MEDICAL GROUP INC

95 LOCUST AVE
DANBURY
CT
068106148

Tel: 2037397029

DEANNA M BALLARD Information

Npi 1659733657
Pac Id 5193017432
Professional Enrollment Id I20160707001395
Last Name BALLARD
First Name DEANNA
Middle Name M
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2016
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name WESTERN CONNECTICUT MEDICAL GROUP INC
Group Practice Pac Id 4789597691
Number Of Group Practice Members 572
Line 1 Street Address 95 LOCUST AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City DANBURY
State CT
Zip Code 068106148
Phone Number 2037397029
Hospital Affiliation Ccn 1 070033
Hospital Affiliation Lbn 1 DANBURY HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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