Provider Demographics
NPI:1568094969
Name:BALINO, JOSEL (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:JOSEL
Middle Name:
Last Name:BALINO
Suffix:
Gender:M
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16990 W 86TH ST
Mailing Address - Street 2:STE 100
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66219
Mailing Address - Country:US
Mailing Address - Phone:913-676-8400
Mailing Address - Fax:913-599-1682
Practice Address - Street 1:16990 W 86TH ST
Practice Address - Street 2:STE 100
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66219
Practice Address - Country:US
Practice Address - Phone:913-676-8400
Practice Address - Fax:913-599-1682
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-04
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019045211363LF0000X
KS53-79116-121363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily