=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457213050
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AFFORDABLE PRIMARY CARE, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/02/2025
-----------------------------------------------------
Last Update Date | 12/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 520 PUSEY AVE STE 255
-----------------------------------------------------
City | COLLINGDALE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19023-3309
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-594-5920
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 520 PUSEY AVE STE 255
-----------------------------------------------------
City | COLLINGDALE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19023-3309
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-594-5920
-----------------------------------------------------
Fax | 484-494-5037
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CRNP
-----------------------------------------------------
Name | FATIMA BANGURA
-----------------------------------------------------
Credential | DNP
-----------------------------------------------------
Telephone | 215-594-5920
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LA2200X
-----------------------------------------------------
Taxonomy Name | Adult Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------