Laura Renninger Ballew, PA-C Valid NPI

Individual provider · Physician Assistant · New Smyrna Beach, FL

NPI

1801085659

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

PA9103192 (FL)

Sex

Female

Sole proprietor

No

Enumerated

2007-10-17

Last updated

2017-03-18