Provider Demographics
NPI:1538355342
Name:BALLARDO, ARIELA VERONICA
Entity type:Individual
Prefix:MRS
First Name:ARIELA
Middle Name:VERONICA
Last Name:BALLARDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1995 SW SILVER PINE WAY # 119F2
Mailing Address - Street 2:
Mailing Address - City:PALM CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34990-8415
Mailing Address - Country:US
Mailing Address - Phone:772-219-0996
Mailing Address - Fax:
Practice Address - Street 1:1995 SW SILVER PINE WAY # 119F2
Practice Address - Street 2:
Practice Address - City:PALM CITY
Practice Address - State:FL
Practice Address - Zip Code:34990-8415
Practice Address - Country:US
Practice Address - Phone:772-219-0996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-15
Last Update Date:2007-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide