MEDICARE: JANE ANYU-BANGANG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0809X	Adult Psychiatric/Mental Health Registered Nurse	R135481	MD
2	163WP0807X	Child & Adolescent Psychiatric/Mental Health Registered Nurse	R135481	MD

General Provider Information

NPI Number	:	1447185327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE ANYU-BANGANG

Provider Business Mailing Address
First Line	:	7946 VANITY FAIR DR
Second Line	:
City	:	GREENBELT
State	:	MD
Zip	:	20770-3347
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7946 VANITY FAIR DR
Second Line	:
City	:	GREENBELT
State	:	MD
Zip	:	20770-3347
Country	:	US
Telephone Number	:	202-250-4007
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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