Provider Demographics
NPI:1871137067
Name:BALL, KATHERINE LOUISE (APRN-CNP)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:LOUISE
Last Name:BALL
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:6961 RAMBLEHURST RD
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-3548
Mailing Address - Country:US
Mailing Address - Phone:734-807-1022
Mailing Address - Fax:
Practice Address - Street 1:2130 W CENTRAL AVE STE 105
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-3819
Practice Address - Country:US
Practice Address - Phone:419-291-4590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-31
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.025337363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily