Individual provider · Type 1 NPI
Victoria Ranti Balogun, NURSE PRACTITIONER
Psychiatric/Mental Health Nurse Practitioner · Lompoc, CA
NPI number
1043761117
Active
Practice location
4192 Polaris Ave
Lompoc, CA 93436-1250
Fax (805) 250-3248
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 95016572 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95016572 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1043761117
Victoria Ranti Balogun, NURSE PRACTITIONER's National Provider Identifier is 1043761117, issued on Oct 24, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lompoc, CA. The record was last updated on Feb 6, 2026.