Mutiu O Balogun, NP Valid NPI

Individual provider · Psychiatric/Mental Health Nurse Practitioner · Auburn Hills, MI

NPI

1619717881

Type

Individual (Type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0808X

License number

4704334959 (MI)

Sex

Male

Sole proprietor

Yes

Enumerated

2024-05-27

Last updated

2024-05-27