Provider Demographics
NPI:1144511601
Name:BALLESTAS, HELEN CHRISTINA (PHD, RN, ANP)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:CHRISTINA
Last Name:BALLESTAS
Suffix:
Gender:F
Credentials:PHD, RN, ANP
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Mailing Address - Street 1:PO BOX 530062
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30353-0062
Mailing Address - Country:US
Mailing Address - Phone:436-956-0718
Mailing Address - Fax:843-569-5881
Practice Address - Street 1:201 OAKBROOK LN STE 255
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29485-7538
Practice Address - Country:US
Practice Address - Phone:438-512-0008
Practice Address - Fax:843-850-2003
Is Sole Proprietor?:No
Enumeration Date:2011-05-02
Last Update Date:2021-11-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC20480363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health