Individual provider · Type 1 NPI

Shade Ahoua Balogun, RN

Registered Nurse · Brooklyn, NY

NPI number 1053108472 Active

Practice location

681 Clarkson Ave
Brooklyn, NY 11203-2125

Fax (718) 221-7206

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X539590 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1053108472

Shade Ahoua Balogun, RN's National Provider Identifier is 1053108472, issued on Apr 21, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Brooklyn, NY. The record was last updated on Apr 21, 2025.