Oluwakemi F Balogun
Nurse Practitioner, Psych/Mental Health in Glen Burnie, MD. Individual provider (NPI-1).
NPI number1962963389
StatusActive
Last updated in NPPESNov 27, 2023
Details
- NPI
- 1962963389
- Entity type
- Individual (NPI-1)
- Name
- Oluwakemi F Balogun
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 28, 2019
- Certification date
- Nov 27, 2023
- Last updated
- Nov 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | R200367 | MD | Yes |
| 208000000X | Pediatrics | R200367 | MD | |
| 363LF0000X | Nurse Practitioner, Family | R200367 | MD |
Practice location
7310 Ritchie Hwy Ste 519Glen Burnie, MD 21061-3099
Phone 301-501-5779
Mailing address
7310 Ritchie Hwy Ste 519Glen Burnie, MD 21061-3099
Phone 301-501-5779
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