Healthcare Provider Details

I. General information

NPI: 1457213050
Provider Name (Legal Business Name): AFFORDABLE PRIMARY CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 PUSEY AVE STE 255
COLLINGDALE PA
19023-3309
US

IV. Provider business mailing address

520 PUSEY AVE STE 255
COLLINGDALE PA
19023-3309
US

V. Phone/Fax

Practice location:
  • Phone: 215-594-5920
  • Fax:
Mailing address:
  • Phone: 215-594-5920
  • Fax: 484-494-5037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: FATIMA BANGURA
Title or Position: CRNP
Credential: DNP
Phone: 215-594-5920