Healthcare Provider Details

I. General information

NPI: 1083757447
Provider Name (Legal Business Name): JULIE RENEE BANGS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 02/15/2026
Certification Date: 02/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13121 BROOKLANE DR
HAGERSTOWN MD
21742-1514
US

IV. Provider business mailing address

13121 BROOKLANE DR
HAGERSTOWN MD
21742-1514
US

V. Phone/Fax

Practice location:
  • Phone: 301-733-0330
  • Fax:
Mailing address:
  • Phone: 301-733-0330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberRN64396
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN64396
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: