Nonna Lyn M Ebalo in South Boston - Pediatrics

Nonna Lyn M Ebalo - NPI 1861472524

Nonna Lyn M Ebalo is a Pediatrics in South Boston, Virginia. Nonna Lyn M Ebalo practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Nonna Lyn M Ebalo is 1861472524. The last update date is 2012-09-24.

Nonna Lyn M Ebalo's current location address is 2212 Wilborn Ave, South Boston, Virginia. You can contact this provider via phone number 4345728921 and fax number 4345722063. The mailing address for Nonna Lyn M Ebalo is 2212 Wilborn Ave, South Boston, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Nonna Lyn M Ebalo
Address 2212 Wilborn Ave, South Boston, Virginia
Phone Number 4345728921
Fax Number 4345722063
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1861472524
Provider Enumeration Date 2006-01-19
Last Updated Date 2012-09-24

Provider Mailing Address Detail

Address 2212 Wilborn Ave
City South Boston
State Virginia (VA)
Post Code 245921630
Phone Number 4345728921
Fax Number 4345722063

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 101232220
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

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FAQs about Nonna Lyn M Ebalo

What is the unique 10-digit identifier code assigned to Nonna Lyn M Ebalo by the Centers for Medicare & Medicaid Services?

The Nonna Lyn M Ebalo has been issued the NPI (National Provider Identifier) 1861472524 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Nonna Lyn M Ebalo is physically located?

The Nonna Lyn M Ebalo is situated at the following address: 2212 Wilborn Ave, South Boston, VA 245921630.

What is Nonna Lyn M Ebalo's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Nonna Lyn M Ebalo is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1861472524 to Nonna Lyn M Ebalo?

The Centers for Medicare & Medicaid Services assigned the 1861472524 to Nonna Lyn M Ebalo on 2006-01-19.

When was the information regarding Nonna Lyn M Ebalo most recently updated?

The details pertaining to the Nonna Lyn M Ebalo, including its address, specialty, and other relevant information, were last refreshed on 2012-09-24.

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