Active NPIIndividual providerSole proprietor

Moriam O Balogun, ARNP

Nurse Practitioner, Gerontology in Tallahassee, Florida

NPI Number1932637931
Practice location
3302 Sawtooth Dr, Tallahassee, FL 32303-7368
Fax
850-339-2952
Last updated
September 16, 2026

Moriam O Balogun is a Nurse Practitioner, Gerontology based in Tallahassee, FL. Moriam O Balogun practices in Tallahassee, FL and has the professional credentials of ARNP. The NPI Number for Moriam O Balogun is 1932637931 and holds a License No. ARNP9355877 (FL). The current practice location address for Moriam O Balogun is 3302 Sawtooth Dr, Tallahassee, FL 32303-7368 and can be reached out via phone at 850-339-2952 and via fax at 850-339-2952.

Provider Profile Details

NPI Number
1932637931
Provider Name
Moriam O Balogun
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
3302 Sawtooth Dr, Tallahassee, FL 32303-7368
Phone Number
850-339-2952
Fax Number
850-339-2952
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
Yes
Provider Enumeration Date
June 2, 2017
Last Update Date
September 16, 2026
Certification Date
September 16, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
3302 Sawtooth Dr
Tallahassee, FL 32303-7368
State
Florida
Zip
32303-7368
Phone Number
850-339-2952
Fax Number
850-339-2952
Tallahassee, FL 32303Get directions →

Provider Business Mailing Address Details

Address
769 Boxwood Ln SE
Salem, OR 97302-3592
City
Salem
State
OR
Zip
97302-3592
Phone Number
850-339-2952

License Information

License Number (1)
ARNP9355877
License State (1)
FL
Taxonomy (1)
Nurse Practitioner, Adult Health · 363LA2200X
License Number (2)
ARNP.AP.70039628
License State (2)
WA
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (3)
201803757NP-PP
License State (3)
OR
Taxonomy (3)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (4)
ARNP9355877
License State (4)
FL
Taxonomy (4)
Nurse Practitioner, Gerontology · 363LG0600X · Primary
License Number (5)
201803757NP-PP
License State (5)
OR
Taxonomy (5)
Nurse Practitioner, Gerontology · 363LG0600X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Moriam O Balogun, ARNP?

The NPI number of Moriam O Balogun, ARNP is 1932637931. It was assigned on June 2, 2017 and is currently active in the NPPES registry.

What is the specialty of Moriam O Balogun, ARNP?

Moriam O Balogun, ARNP is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in FL under license number ARNP9355877.

Where does Moriam O Balogun, ARNP practice?

The practice location is 3302 Sawtooth Dr, Tallahassee, FL 32303-7368. The office can be reached at 850-339-2952 (phone) or 850-339-2952 (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 1932637931 directly on the NPPES registry website.

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