Na-Allah, Moriam Bolare

Na-Allah, Moriam Bolare is an sole proprietor health care provider with primary practice located at 2712 Greenfield Dr , Edmond OK 73012-6531. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Na-Allah, Moriam Bolare can be contacted via phone (405) 923-0952.

Contact Information

Primary practice address
2712 Greenfield Dr Edmond OK 73012-6531
Phone: (405) 923-0952
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 111165 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 111165 Oklahoma

Profile Details

NPI number 1285283176
LBN Legal business name Na-Allah, Moriam Bolare
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 4th, 2019
Last updated Dec 9th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285283176 NPPES
Oklahoma Other 111165 OKLAHOMA BOARD OF NURSING

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