Search › Indiana › 364SP0807X
Mary Balle, PMHCNS-BC, RN
NPI 1841575735 · on the registry since 2011
Practice
- Address
- 350 S Landmark Ave
Bloomington, IN 47403 - Phone
- (812) 335-2434
- Fax
- (812) 335-7604
- Organisation at this address
- Southern Indiana Pediatrics, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 32
Additional practice sites
- 205 S Walnut St Ste 17, Bloomington, IN
Registry record
- Primary taxonomy
- 364SP0807X
364SP0807X
- Also registered as
- 163W00000X
163WP0807X
364SP0808X - Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana