Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NONNA LYN M EBALO, MD
ActiveNONNA LYN M EBALO, MD is a Pediatrics healthcare provider located in SOUTH BOSTON, Virginia. NPI 1861472524 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · SOUTH BOSTON, VA
Registration Details
- NPI Number
- 1861472524
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 19, 2006 (20.578646813662 yrs)
- Last Updated
- Sep 24, 2012
- Licenses
-
0101232220 (VA)C51721 (CA)
Practice Information
- Address
-
2212 WILBORN AVESOUTH BOSTON, VA, 245921630Browse VA providers · Browse ZIP 24592
- Phone
- 4345728921
- Fax
- 4345722063
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in SOUTH BOSTON, VA
| Name | Credential | NPI |
|---|---|---|
| MARIA PRECIOUS TANGAN TORRES | MD | 1386612877 |
| SAMANTHA Y KING | MD | 1639147739 |
| DR. CANDACE RENEE CLOCKER | M.D. | 1841488905 |
| AKPOMEVIGHO A AVBOVBO | — | 1649732884 |
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.