IndividualActive
Nicole Ballinger, D.O.
NPI 1104914951 · Child & Adolescent Psychiatry Physician · Wauwatosa, WI
Provider details
- NPI number
- 1104914951
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- 52794-021 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1220 Dewey Ave
Wauwatosa, WI 53213
Phone: (414) 454-6600
Fax: (414) 454-6766
Approximate (ZIP-level) locationGet directions
Mailing address
1220 Dewey Ave
Wauwatosa, WI 53213-2504
Additional practice locations (1)
- 52d Medical GroupUnit 3865Apo, AE 09126-3865Phone: 4906565618238
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2021-11-22
- Certified
- 2021-11-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.