Nashanda Balogun, AGPCNP
Nurse Practitioner, Gerontology in Montclair, New Jersey
1417365776- Practice location
- 28 Valley RD # 148, Montclair, NJ 07042-2709
- Phone
- 973-559-4600
- Fax
- 855-998-4358
- Last updated
- January 13, 2025
Nashanda Balogun is a Nurse Practitioner, Gerontology based in Montclair, NJ. Nashanda Balogun practices in Montclair, NJ and has the professional credentials of AGPCNP. The NPI Number for Nashanda Balogun is 1417365776 and holds a License No. SP013879 (PA). The current practice location address for Nashanda Balogun is 28 Valley RD # 148, Montclair, NJ 07042-2709 and can be reached out via phone at 973-559-4600 and via fax at 855-998-4358.
Provider Profile Details
- NPI Number
- 1417365776
- Provider Name
- Nashanda Balogun
- Credential
- AGPCNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 28 Valley RD # 148, Montclair, NJ 07042-2709
- Phone Number
- 973-559-4600
- Fax Number
- 855-998-4358
- Primary Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 30, 2014
- Last Update Date
- January 13, 2025
- Certification Date
- January 13, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 28 Valley RD # 148
Montclair, NJ 07042-2709 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-2709
- Phone Number
- 973-559-4600
- Fax Number
- 855-998-4358
Provider Business Mailing Address Details
- Address
- 28 Valley RD # 148
Montclair, NJ 07042-2709 - City
- Montclair
- State
- NJ
- Zip
- 07042-2709
- Phone Number
- 973-559-4600
- Fax Number
- 855-998-4358
License Information
- License Number (1)
- SP013879
- License State (1)
- PA
- Taxonomy (1)
- Nurse Practitioner, Adult Health · 363LA2200X
- License Number (2)
- SP013879
- License State (2)
- PA
- Taxonomy (2)
- Nurse Practitioner, Primary Care · 363LP2300X
- License Number (3)
- 26NJ15053300
- License State (3)
- NJ
- Taxonomy (3)
- Nurse Practitioner, Gerontology · 363LG0600X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Gerontology providers near Montclair, NJ
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- Padama Misra, AGNP-CNurse Practitioner, Gerontology · NPI 1750133039
- Therese B Felcher, LCSWSocial Worker, Clinical · NPI 1265623284
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Frequently Asked Questions
What is the NPI number of Nashanda Balogun, AGPCNP?
The NPI number of Nashanda Balogun, AGPCNP is 1417365776. It was assigned on July 30, 2014 and is currently active in the NPPES registry.
What is the specialty of Nashanda Balogun, AGPCNP?
Nashanda Balogun, AGPCNP is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in PA under license number SP013879.
Where does Nashanda Balogun, AGPCNP practice?
The practice location is 28 Valley RD # 148, Montclair, NJ 07042-2709. The office can be reached at 973-559-4600 (phone) or 855-998-4358 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417365776 directly on the NPPES registry website.