Individual provider · NPI-1

Rachel Ballantyne, NP

Nurse Practitioner, Family · Newport Beach, CA

NPI number1427765627

StatusActive

Last updated in NPPESFeb 25, 2025

Details

NPI: 1427765627
Entity type: Individual (NPI-1)
Name: Rachel Ballantyne
Credential: NP
Sex: Female
Sole proprietor: No
Enumeration date: Oct 28, 2022
Certification date: Feb 25, 2025
Last updated: Feb 25, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LF0000X	Nurse Practitioner, Family	95021341	CA	Yes
363L00000X	Nurse Practitioner	95021341	CA

Practice location

180 Newport Center Dr Ste 159
Newport Beach, CA 92660-6972

Phone 949-226-7776

Mailing address

180 Newport Center Dr Ste 159
Newport Beach, CA 92660-6972

Phone 949-226-7776

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