person
Victoria Ranti Balogun, NURSEPRACTITIONER
Family Nurse Practitioner in Chantilly, Virginia
NPI 1043761117

Victoria Ranti Balogun is a Family Nurse Practitioner based in Chantilly, VA and is specialized in Family. Victoria Ranti Balogun practices in Chantilly, VA and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Victoria Ranti Balogun is 1043761117 and holds a License No. 20493 (Virginia).

The current practice location address for Victoria Ranti Balogun is 14121 Parke Long Court, Suite 201, Chantilly, VA and can be reached out via phone at 864-551-5536.

Location: 14121 Parke Long Court, Suite 201, Chantilly, VA, 20151-1647
person
Provider Profile Details
NPI Number
1043761117
Provider Name
Victoria Ranti Balogun
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
14121 Parke Long Court, Suite 201, Chantilly, VA, 20151-1647
Phone Number
864-551-5536
Fax Number
Provider Enumeration Date
10/24/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14121 Parke Long Court, Suite 201
City
State
Zip
20151
Phone Number
864-551-5536
Fax Number
person
Provider Business Mailing Address Details
Address
14121 Parke Long Court, Suite 201
City
State
Zip
20151
Phone Number
864-551-5536
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
20493 (South Carolina)
Definition
Definition to come...
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