Provider Demographics
NPI:1861117863
Name:BALL, SARAH MICHELLE (WHNP)
Entity type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:MICHELLE
Last Name:BALL
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 CAMELOT CT
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:CA
Mailing Address - Zip Code:94707-1306
Mailing Address - Country:US
Mailing Address - Phone:510-220-3280
Mailing Address - Fax:
Practice Address - Street 1:2970 HILLTOP MALL RD STE 307
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94806-5204
Practice Address - Country:US
Practice Address - Phone:510-222-5290
Practice Address - Fax:510-222-9231
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-11
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR22658500163W00000X
CA95300031163W00000X
PARN739994163W00000X
DEL1-0067711163W00000X
CA95023310363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse