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

Ini Balogun

Individual provider Primary Care Nurse Practitioner · NPI 1124997713

Ini Balogun is a Primary Care Nurse Practitioner in Bowie, Maryland. Licensed in Maryland. Registered with an NPI since 2025.

Licensed in
MD
In the registry since
2025

Practice location Address checks out

4305 Northview Dr
Bowie, MD 20716-2600
Phone: (240) 473-9999
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence R210483 (MD)

Record details

NPI number1124997713
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 3, 2025
Last updated in NPPESNovember 3, 2025
Certification dateOctober 30, 2025
Mailing address10813 Rhodenda Pl, Upper Marlboro, MD 20772-4824

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