Healthcare Provider Details
I. General information
NPI: 1073247540
Provider Name (Legal Business Name): FINDA BANGURA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/12/2022
Last Update Date: 10/03/2022
Certification Date: 10/03/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
721 48TH ST NE
WASHINGTON DC
20019-3607
US
IV. Provider business mailing address
3707 POGONIA CT
HYATTSVILLE MD
20784-1888
US
V. Phone/Fax
- Phone: 202-541-9844
- Fax: 202-541-9845
- Phone: 859-287-9393
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | HHA200002140 |
| License Number State | DC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376K00000X |
| Taxonomy | Nurse's Aide |
| License Number | A00185058 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: