Doctor Name: | MRS. FRANCOISE KAPINGA BANSENGA |
NPI Number: | 1275877409 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | CP001059 |
Business Practice Address: | 109 Pugh St Martin, SD - 575517700 |
Business Phone Number: | 6057724525 |
Business Fax Number: | |
Mailing Address: | 6300 S Mogen Ave, SIOUX FALLS |
State: | SD |
Postal Code: | 571085706 |
Phone Number: | 6052710641 |
Fax Number: | |
NPI Enumeration Date: | 11/09/2012 |
NPI Last Update Date: | 05/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | CP001059 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |