ERONMWON BALOGUN APN NPI 1013699693

NPI Information

NPI: 1013699693
Provider Name: ERONMWON BALOGUN, APN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1181 NIXON DR. SUITE 1098
MOORESTOWN, NJ
ZIP 08057
Phone: (609) 444-8109
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Eronmwon Balogun, APN is a psychiatric/mental health nurse practitioner in Moorestown, NJ with 1 years of experience. Eronmwon Balogun, APN NPI is 1013699693. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1181 NIXON DR. SUITE 1098
MOORESTOWN, NJ
ZIP 08057-201
Phone: (609) 444-8109

The NPI 1013699693 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/3/2023 and was last updated on 10/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0807X	Registered Nurse	Psychiatric/Mental Health, Child & Adolescent	26NR1900140	NEW JERSEY	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	26NJ14894800	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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