Doctor Name: | FATIMA BANGURA |
NPI Number: | 1801219472 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, MSN |
License Number: | RN546238 |
Business Practice Address: | 320 Macdade Blvd Suite 202 Collingdale, PA - 190231927 |
Business Phone Number: | 2672071941 |
Business Fax Number: | |
Mailing Address: | 6817 Regent St, PHILADELPHIA |
State: | PA |
Postal Code: | 191421212 |
Phone Number: | 2158024224 |
Fax Number: | |
NPI Enumeration Date: | 02/01/2014 |
NPI Last Update Date: | 02/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | RN546238 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |