Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Moriam Bolare Na-Allah

Individual provider Primary Care Nurse Practitioner · NPI 1285283176

Dr. Moriam Bolare Na-Allah is a Nurse Practitioner in Edmond, Oklahoma. Qualified in 2019, 7 years ago. Practices with State of Oklahoma, a 99-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
7
Licensed in
OK
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2712 Greenfield Dr
Edmond, OK 73012-6531
Phone: (405) 923-0952
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 111165 (OK)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 111165 (OK)

Record details

NPI number1285283176
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 4, 2019
Last updated in NPPESDecember 9, 2023
Certification dateDecember 9, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice State Of Oklahoma — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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