Balogun, Mojisola R

Balogun, Mojisola R is an individual health care provider with primary practice located at 1326 W Hadley St , Phoenix AZ 85007-3612. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Balogun, Mojisola R can be contacted via phone (602) 218-8868.

Contact Information

Primary practice address
1326 W Hadley St Phoenix AZ 85007-3612
Phone: (602) 218-8868
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 810386 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 265256 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 810386 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 265256 Arizona

Profile Details

NPI number 1144567264
LBN Legal business name Balogun, Mojisola R
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2013
Last updated Aug 1st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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