DR. MORIAM BOLARE NA-ALLAH NPI 1285283176

NPI Information

NPI: 1285283176
Provider Name: DR. MORIAM BOLARE NA-ALLAH
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
2712 GREENFIELD DR
EDMOND, OK
ZIP 73012
Phone: (405) 923-0952
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DR. Moriam Bolare Na-allah is a psychiatric/mental health nurse practitioner in Edmond, OK with 5 years of experience. DR. Moriam Bolare Na-allah NPI is 1285283176. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2712 GREENFIELD DR
EDMOND, OK
ZIP 73012-531
Phone: (405) 923-0952

The NPI 1285283176 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/4/2019 and was last updated on 12/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	111165	OKLAHOMA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	111165	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	111165	OTHER	OKLAHOMA	OKLAHOMA BOARD OF NURSING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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