IndividualActive
Amy Balog, NP
NPI 1720346869 · Family Nurse Practitioner · Rockledge, FL
Provider details
- NPI number
- 1720346869
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 609756 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
661 Eyster Blvd Ste 2
Rockledge, FL 32955-8119
Phone: (321) 806-1874
Fax: (321) 806-1875
Approximate (ZIP-level) locationGet directions
Mailing address
661 Eyster Blvd Ste 2
Rockledge, FL 32955-8119
Registry dates
- Enumerated
- 2012-04-26
- Last updated
- 2021-10-13
- Certified
- 2021-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.