NPI 1740241553 · live from the CMS NPI Registry
La Dena Ann Ballard, PA
Physician Assistant in Tulsa, OK. National Provider Identifier 1740241553, active.
NPI record
| NPI | 1740241553 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 2431 E 61st St Ste 500, Tulsa, OK 74136 |
| Practice phone | 918-582-6800 |
| Enumerated | March 31, 2006 |
| Last updated | November 12, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 1467 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.