Individual provider · Type 1 NPI

Ini Balogun

Primary Care Nurse Practitioner · Bowie, MD

NPI number 1124997713 Active

Practice location

4305 Northview Dr
Bowie, MD 20716-2600

Call (240) 473-9999 Map

Mailing address

10813 Rhodenda Pl
Upper Marlboro, MD 20772-4824

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XR210483 (MD)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1124997713

Ini Balogun's National Provider Identifier is 1124997713, issued on Nov 3, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Bowie, MD. The record was last updated on Nov 3, 2025.