Mariama Bangura

Individual provider Active NPI Licensed Practical Nurse · Washington, DC

NPI 1366036097 · NPPES record last updated Feb 23, 2021

Key facts

NPI
1366036097
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN1006035 (MD)
Practice address
2512 24TH St NE
Washington, DC 20018-2126
Phone
(202) 832-8340
NPI assigned
Feb 23, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LPN1006035MDMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN1006035 MD Yes

Addresses

Primary practice location

2512 24TH St NE
Washington, DC 20018-2126

Mailing address

9823 Oxbridge Way
Bowie, MD 20721-3095
Phone (301) 768-7654

Other providers in Washington, DC

All providers in Washington, DC · Licensed Practical Nurse in District of Columbia

Sources for this page

Verify at the official NPI Registry.