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Contact Information

NINA M BALLANTYNE, CNM
1017 DAMASCUS CIR
COSTA MESA, CA92626-1608
 Phone: 413-687-9263
 Fax: 714-707-4119
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Women's Health

363LW0102X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for NINA M BALLANTYNE · (Female)

NPI # 1598233306
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 11/09/2018
Last updated 03/23/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 235994
  • CA License # 95010744
  • CA Medicaid 1467590901
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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