Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DESTINY SHANTEE BALLANCE, RN
Active Sole ProprietorDESTINY SHANTEE BALLANCE, RN is a Nurse Practitioner healthcare provider located in RANCHO CUCAMONGA, California. NPI 1073334959 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · RANCHO CUCAMONGA, CA
Registration Details
- NPI Number
- 1073334959
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 23, 2024 (1.8386682638297 yrs)
- Last Updated
- Mar 7, 2026
- Licenses
-
95042920 (CA)95038680 (CA)95042920 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11175 AZUSA CT STE 110RANCHO CUCAMONGA, CA, 917304933Browse CA providers · Browse ZIP 91730
- Phone
- 9097159611
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
- Additional Specialty
- General Practice Nurse
Other Nurse Practitioner Providers in RANCHO CUCAMONGA, CA
| Name | Credential | NPI |
|---|---|---|
| MR. WILLIAM RANDOLPH GAUSE | N.P. | 1093826315 |
| MRS. FLORA ELOHO DIAMREYAN | FNP | 1477626521 |
| MS. JANET ELLEN URSUA | RN MSN NP | 1114093101 |
| DR. KHOA ANH DANG | DNP, APRN-CNP, FNP-C | 1841630019 |
| KELLY CHOI | MSN, FNP-C | 1598200446 |
| DANIELLE NOE | — | 1750820593 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.