IndividualActive
Mary Balle, PMHCNS-BC, RN
NPI 1841575735 · Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist · Bloomington, IN
Provider details
- NPI number
- 1841575735
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHCNS-BC, RN
- Sex
- Female
- Sole proprietor
- No
- License
- 28160285A (IN)
Specialties & taxonomies
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistPrimary364SP0807XLicense 71003908A (IN)
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
350 S Landmark Ave
Bloomington, IN 47403-5001
Phone: (812) 335-2434
Fax: (812) 335-7604
Approximate (ZIP-level) locationGet directions
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Additional practice locations (1)
- 205 S Walnut St Ste 17Bloomington, IN 47404-6118Phone: (812) 671-0057
Registry dates
- Enumerated
- 2011-10-11
- Last updated
- 2021-12-15
- Certified
- 2021-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.