Individual provider · Type 1 NPI
Amy L. Balog, NP
Family Nurse Practitioner · Rockledge, FL
NPI number
1720346869
Active
Practice location
661 Eyster Blvd Ste 2
Rockledge, FL 32955-8119
Fax (321) 806-1875
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 609756 (NY) |
| Family Nurse Practitioner | 363LF0000X | 337302 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | 11010379 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1720346869
Amy L. Balog, NP's National Provider Identifier is 1720346869, issued on Apr 26, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rockledge, FL. The record was last updated on Oct 13, 2021.