Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theresa Lee Balloy

Individual provider Registered Nurse · NPI 1669253308

Theresa Lee Balloy is a Registered Nurse in Shakopee, Minnesota. Licensed in Minnesota. Registered with an NPI since 2023.

Licensed in
MN
In the registry since
2023

Practice location Address checks out

2540 Onyx Dr
Shakopee, MN 55379-2769
Phone: (743) 913-1658
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 2261025 (MN)

Record details

NPI number1669253308
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 9, 2023
Last updated in NPPESOctober 9, 2023
Certification dateOctober 9, 2023

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