Christa Balder, N/A | |
30 Hunter Ln, Camp Hill, PA 17011-2400 | |
(800) 748-3243 | |
Not Available |
Full Name | Christa Balder |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 30 Hunter Ln, Camp Hill, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851008080 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 418050 (Ohio) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0033245 (Ohio) | Primary |
Entity Name | Alcove Ventures Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093191322 PECOS PAC ID: 1456669605 Enrollment ID: O20151007002805 |
Mailing Address | Practice Location Address |
---|---|
Christa Balder, N/A 116 W 16th St, Dover, OH 44622-2512 Ph: (330) 401-5473 | Christa Balder, N/A 30 Hunter Ln, Camp Hill, PA 17011-2400 Ph: (800) 748-3243 |
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