IndividualActive
Angela Ballensky
NPI 1023649100 · Licensed Practical Nurse · Lakewood, WA
Provider details
- NPI number
- 1023649100
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- LP00049358 (WA)
Specialties & taxonomies
Nursing Service Providers
Practice location
9720 S Tacoma Way
Lakewood, WA 98499-4456
Phone: (253) 503-3666
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 39680
Lakewood, WA 98496-3680
Registry dates
- Enumerated
- 2020-01-28
- Last updated
- 2020-01-28
- Certified
- 2020-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.