Individual provider · NPI-1
Takiya Sakina Ballard, CNM
Advanced Practice Midwife · Brooklyn, NY
NPI number1356329510
StatusActive
Last updated in NPPESJun 29, 2018
Details
- NPI
- 1356329510
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Takiya Sakina Ballard
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 6, 2006
- Last updated
- Jun 29, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | F001549-1 | NY | Yes |
| 367A00000X | Advanced Practice Midwife | 25ME00064200 | NJ |
Practice location
68 3rd St Ste 246Brooklyn, NY 11231
Phone 347-289-5451 · Fax 347-289-5451
Mailing address
34 Cathedral Ave Apt 3eHempstead, NY 11550-2026
Phone 347-265-2632 · Fax 347-289-5451
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