Wellformed AI

NPI 1861039976 · live from the CMS NPI Registry

Sally Elizabeth Balkovic, NP

Nurse Practitioner in Washington, DC. National Provider Identifier 1861039976, active.

NPI record

NPI1861039976 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner 363L00000X
Practice location2150 Pennsylvania Ave Nw, Washington, DC 20037
Practice phone814-460-8298
EnumeratedDecember 9, 2019
Last updatedDecember 9, 2019
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner primary363L00000XRN1055671 (DC)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.