| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MADISON BALES | 1285391581 | 2021-11-21 |
Madison Bales is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1285391581. Registration indicates Madison Bales is a provider of access to mental health/behavioral health providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Psych/Mental Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Psych/Mental Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Madison Bales |
| Practice Office Address | 902 GALLIA ST PORTSMOUTH, OH US |
| Practice Office Telephone | 7405292125 |
| Mailing Address | PO BOX 55 WALTON, KY 410940055 US |
| Code | Practice | License No State |
|---|---|---|
| 363LP0808X PRIMARY | Access to Mental Health/Behavioral Health Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Psych/Mental Health All Other Specialties & Provider Types Nurse Practitioner Psych/Mental Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | APRN.CNP.002996
OH |