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, ARNP is a Nurse Practitioner, Gerontology based in Tallahassee, FL. Moriam O Balogun, ARNP holds the professional credentials of ARNP. The NPI number for Moriam O Balogun, ARNP is 1932637931 and holds license No. ARNP9355877 (FL). The current practice location address is 3302 Sawtooth Dr, Tallahassee, FL 32303-7368 and the office can be reached by phone at 850-339-2952 and by fax at 850-339-2952. The NPI was assigned on June 2, 2017 and the record was last updated in NPPES on September 16, 2026.

●Provider Profile Details

NPI Number
1932637931
Provider Name
Moriam O Balogun
Credential
ARNP
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
Yes
Enumeration Date
June 2, 2017
Last Update Date
September 16, 2026
Certification Date
September 16, 2026
NPI Status
Active

◉Business Practice Location Address

Address
3302 Sawtooth Dr
Tallahassee, FL 32303-7368
State
Florida
ZIP
32303-7368
Country
US
Phone Number
850-339-2952
Fax Number
850-339-2952

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✉Business Mailing Address

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

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Nurse Practitioner, Adult Health363LA2200XNoARNP9355877FL
Nurse Practitioner, Psych/Mental Health363LP0808XNoARNP.AP.70039628WA
Nurse Practitioner, Psych/Mental Health363LP0808XNo201803757NP-PPOR
Nurse Practitioner, Gerontology363LG0600XYesARNP9355877FL
Nurse Practitioner, Gerontology363LG0600XNo201803757NP-PPOR

#Other Provider Identifiers

No legacy or other 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) and holds license No. ARNP9355877 (FL).

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 at npiregistry.cms.hhs.gov.

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